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General NPI Number Information
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NPI Number | 1225309701
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Entity Type | Organization
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Legal Business Name | LEHIGH VALLEY DENTAL SOLUTIONS
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Dates
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Enumeration Date | 01/16/2012
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Last Update Date | 01/16/2012
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Provider Practice Location Address
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Address Line | 3258 CHERRYVILLE RD
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City | NORTHAMPTON
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State | PA
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Zip | 18067-1017
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Country | US
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Telephone | 610-262-1556
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Fax | 610-262-1556
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Provider Business Mailing Address
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Address Line | 3258 CHERRYVILLE RD
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City | NORTHAMPTON
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State | PA
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Zip | 18067-1017
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Country | US
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Telephone | 610-262-1556
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Fax | 610-262-1556
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ADAM MIHALKO
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Credential |
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Telephone | 610-262-1556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS035397
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License Number State | PA
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