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General NPI Number Information
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NPI Number | 1407257553
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Entity Type | Organization
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Legal Business Name | 717DENTIST
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 1337 ELM AVE
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City | LANCASTER
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State | PA
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Zip | 17603-4632
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Country | US
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Telephone | 717-393-7515
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Fax | 717-393-7548
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Provider Business Mailing Address
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Address Line | 1337 ELM AVE
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City | LANCASTER
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State | PA
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Zip | 17603-4632
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Country | US
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Telephone | 717-393-7515
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Fax | 717-393-7548
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Authorized Official
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Title or Position | OWNER
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Name | DR. RASHI MAJITHIA
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Credential | DMD
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Telephone | 717-393-7515
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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 | DS035258
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License Number State | PA
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