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General NPI Number Information
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NPI Number | 1295857324
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Entity Type | Individual
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Provider Name | THOMAS E DEEM DMD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6198 BUTLER PIKE #140
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City | BLUE BELL
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State | PA
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Zip | 19422-2600
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Country | US
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Telephone | 215-643-9858
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Fax | 215-643-9882
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Provider Business Mailing Address
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Address Line | 161 SPLITRAIL LANE
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City | BLUE BELL
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State | PA
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Zip | 19422
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Country | US
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Telephone |
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Fax | 215-643-9882
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | PA-024620-L
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License Number State | PA
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