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General NPI Number Information
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NPI Number | 1285752741
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Entity Type | Organization
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Legal Business Name | PERIODONTAL SERVICES, LTD
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2137 WELSH RD SUITE 2A
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City | PHILADELPHIA
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State | PA
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Zip | 19115-4963
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Country | US
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Telephone | 214-676-0717
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Fax |
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Provider Business Mailing Address
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Address Line | 2137 WELSH RD SUITE 2A
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City | PHILADELPHIA
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State | PA
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Zip | 19115-4963
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Country | US
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Telephone | 214-676-0717
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Fax |
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Authorized Official
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Title or Position | VP
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Name | DR. ARNOLD L FREEDMAN
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Credential | D.D.S.
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Telephone | 215-676-0717
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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 |
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License Number State |
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