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General NPI Number Information
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NPI Number | 1326220385
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Entity Type | Organization
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Legal Business Name | JOHN F MONACELL DDS PC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 1343 E WILLIAMSBURG RD
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City | SANDSTON
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State | VA
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Zip | 23150-1723
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Country | US
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Telephone | 804-737-6757
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Fax | 804-737-1745
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Provider Business Mailing Address
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Address Line | 1343 E WILLIAMSBURG RD
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City | SANDSTON
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State | VA
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Zip | 23150-1723
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Country | US
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Telephone | 804-737-6757
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Fax | 804-737-1745
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN F MONACELL
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Credential | DDS
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Telephone | 804-737-6757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 0401004464
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License Number State | VA
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