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General NPI Number Information
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NPI Number | 1366454035
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Entity Type | Individual
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Provider Name | JEFFREY ALLEN DEVER D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 815 MARTIN AVE
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City | EPHRATA
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State | PA
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Zip | 17522-1642
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Country | US
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Telephone | 717-733-2100
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Fax | 717-738-4162
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Provider Business Mailing Address
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Address Line | 1196 DAWN AVE
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City | EPHRATA
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State | PA
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Zip | 17522-1349
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Country | US
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Telephone | 717-721-9271
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Fax | 717-738-4162
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DS 030699-L
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License Number State | PA
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