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General NPI Number Information
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NPI Number | 1326164963
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Entity Type | Organization
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Legal Business Name | CHALFONT DENTAL CARE PC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 8 MEADOWBROOK LN
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City | CHALFONT
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State | PA
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Zip | 18914-2811
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Country | US
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Telephone | 215-822-6234
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Fax | 215-822-6373
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Provider Business Mailing Address
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Address Line | 8 MEADOWBROOK LN
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City | CHALFONT
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State | PA
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Zip | 18914-2811
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Country | US
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Telephone | 215-822-6234
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Fax | 215-822-6373
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MICHELE KRZACZYK
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Credential |
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Telephone | 215-822-6234
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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 | DS030518L
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License Number State | PA
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