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General NPI Number Information
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NPI Number | 1336729573
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Entity Type | Organization
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Legal Business Name | DENTISTRY BY APRIL DETAR
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 2182 SANDY DR STE 102
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City | STATE COLLEGE
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State | PA
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Zip | 16803-2211
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Country | US
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Telephone | 814-234-4444
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Fax | 814-954-5652
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Provider Business Mailing Address
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Address Line | 2182 SANDY DR STE 102
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City | STATE COLLEGE
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State | PA
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Zip | 16803-2211
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Country | US
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Telephone | 814-234-4444
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Fax | 814-954-5652
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | MELINDA FRANEK
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Credential |
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Telephone | 814-234-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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