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General NPI Number Information
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NPI Number | 1336401793
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Entity Type | Organization
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Legal Business Name | LAMICHANE, PC
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 1106 CARLISLE RD STE 1
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City | CAMP HILL
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State | PA
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Zip | 17011-6213
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Country | US
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Telephone | 717-763-1104
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Fax |
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Provider Business Mailing Address
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Address Line | 1106 CARLISLE RD STE 1
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City | CAMP HILL
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State | PA
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Zip | 17011-6213
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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 | MANAGING PARTNER
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Name | DR. SARA LAMICHANE
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Credential | DMD
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Telephone | 717-763-1104
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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 | DS037296
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License Number State | PA
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