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General NPI Number Information
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NPI Number | 1376365783
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Entity Type | Individual
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Provider Name | AVIGAEL REBECCA LERMAN DDS
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Gender | Female
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 332 NEW JERSEY AVE
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City | ABSECON
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State | NJ
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Zip | 08201-2413
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Country | US
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Telephone | 609-272-9237
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Fax |
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Provider Business Mailing Address
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Address Line | 928 E MOYAMENSING AVE APT 1-2
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City | PHILADELPHIA
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State | PA
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Zip | 19147-4256
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Country | US
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Telephone | 408-600-6392
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Fax |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS043763
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 22DI02939900
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License Number State | NJ
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