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General NPI Number Information
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NPI Number | 1235143116
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Entity Type | Organization
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Legal Business Name | THEODORE J. BLINDER DDS ASSO
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2427 W DARBY RD
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City | HAVERTOWN
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State | PA
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Zip | 19083-1422
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Country | US
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Telephone | 610-446-4596
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Fax | 610-449-1863
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Provider Business Mailing Address
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Address Line | 2427 W DARBY RD
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City | HAVERTOWN
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State | PA
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Zip | 19083-1422
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Country | US
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Telephone | 610-446-4596
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Fax | 610-449-1863
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THEODORE J. BLINDER
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Credential | DDS
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Telephone | 610-446-2221
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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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