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General NPI Number Information
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NPI Number | 1255428595
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Entity Type | Organization
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Legal Business Name | JOEL S JASPAN DDS ASSOCIATES
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 832 GERMANTOWN PIKE SUITE 2
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-2442
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Country | US
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Telephone | 610-277-5253
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Fax | 610-277-5055
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Provider Business Mailing Address
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Address Line | 832 GERMANTOWN PIKE SUITE 2
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-2442
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Country | US
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Telephone | 610-277-5253
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Fax | 610-277-5055
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOEL S JASPAN
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Credential | DDS
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Telephone | 610-277-5253
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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 | DS16445L
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License Number State | PA
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