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General NPI Number Information
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NPI Number | 1336228717
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Entity Type | Organization
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Legal Business Name | JOHN F. ELWELL DMD PA
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Dates
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Enumeration Date | 11/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 291 MAIN ST
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City | CHATHAM
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State | NJ
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Zip | 07928-2442
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Country | US
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Telephone | 973-635-9091
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Fax |
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Provider Business Mailing Address
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Address Line | 291 MAIN ST
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City | CHATHAM
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State | NJ
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Zip | 07928-2442
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN F. ELWELL
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Credential |
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Telephone | 973-635-9091
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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 | DI 17010
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License Number State | NJ
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