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NPI 1245164813

NPI 1245164813 : EMILY MARIE PAVLOWSKI DMD : JERMYN, PA

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General NPI Number Information
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    NPI Number           |    1245164813
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY MARIE PAVLOWSKI DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/10/2026
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    Last Update Date     |    06/10/2026
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Provider Practice Location Address
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    Address Line         |    5 S WASHINGTON AVE 
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    City                 |    JERMYN
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    State                |    PA
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    Zip                  |    18433-1121
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    Country              |    US
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    Telephone            |    570-383-9934
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    941 THROOP ST 
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    City                 |    DUNMORE
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    State                |    PA
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    Zip                  |    18512-2640
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    Country              |    US
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    Telephone            |    570-815-2517
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    Fax                  |    
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DS045714
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    License Number State |    PA
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