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General NPI Number Information
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NPI Number | 1295912186
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Entity Type | Organization
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Legal Business Name | DANVILLE FAMILY DENTAL, AARON F. LERG DDS, INC.
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 05/08/2019
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Provider Practice Location Address
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Address Line | 709 S. MARKET STREET
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City | DANVILLE
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State | OH
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Zip | 43014
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Country | US
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Telephone | 740-599-6882
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Fax | 740-599-7479
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Provider Business Mailing Address
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Address Line | P.O. BOX 3 709 S. MARKET ST
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City | DANVILLE
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State | OH
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Zip | 43014
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Country | US
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Telephone | 740-599-6882
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Fax | 740-599-7479
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Authorized Official
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Title or Position | PRESIDENT
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Name | AARON F LERG
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Credential | DDS
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Telephone | 740-599-6882
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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 | 21328
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 18224
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License Number State | OH
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