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General NPI Number Information
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NPI Number | 1205972197
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Entity Type | Individual
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Provider Name | RUSSEL T BECHTLOFF D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 400 N BUCKSTOWN RD SUITE 1C
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City | LANGHORNE
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State | PA
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Zip | 19047-8310
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Country | US
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Telephone | 215-750-1717
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Fax | 215-750-6109
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Provider Business Mailing Address
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Address Line | 400 N BUCKSTOWN RD SUITE 1C
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City | LANGHORNE
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State | PA
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Zip | 19047-8310
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Country | US
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Telephone | 215-750-1717
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Fax | 215-750-6109
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DSO17051L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DSO17971L
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License Number State | PA
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