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General NPI Number Information
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NPI Number | 1205643681
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Entity Type | Organization
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Legal Business Name | LANCASTER FAMILY DENTAL LLC
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 784 E MAIN ST STE B
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City | LANCASTER
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State | OH
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Zip | 43130-3983
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Country | US
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Telephone | 740-422-8088
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Fax |
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Provider Business Mailing Address
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Address Line | 784 E MAIN ST STE B
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City | LANCASTER
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State | OH
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Zip | 43130-3983
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Country | US
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Telephone | 740-422-8088
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | TIFFANI ROSSI
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Credential |
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Telephone | 740-687-5811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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