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General NPI Number Information
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NPI Number | 1265658280
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Entity Type | Organization
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Legal Business Name | PRAFULL M DOSHI, D.D.S. P.C.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 1032 PARK RD
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City | BLANDON
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State | PA
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Zip | 19510-9558
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Country | US
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Telephone | 610-926-9300
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Fax | 610-926-8622
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Provider Business Mailing Address
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Address Line | 1032 PARK RD
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City | BLANDON
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State | PA
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Zip | 19510-9558
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Country | US
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Telephone | 610-926-9300
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Fax | 610-926-8622
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Authorized Official
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Title or Position | OWNER
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Name | DR. PRAFULL M DOSHI
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Credential | DDS
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Telephone | 610-926-9300
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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 | DSO19781-L
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License Number State | PA
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