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General NPI Number Information
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NPI Number | 1407834666
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Entity Type | Individual
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Provider Name | MARIO E. D'AURORA D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 3805 RASPBERRY ST
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City | ERIE
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State | PA
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Zip | 16509-1321
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Country | US
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Telephone | 814-864-4807
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Fax | 814-866-5445
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Provider Business Mailing Address
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Address Line | 2912 CONTESSA LN
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City | ERIE
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State | PA
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Zip | 16506-1741
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Country | US
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Telephone | 814-833-7899
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS021953L
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License Number State | PA
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