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General NPI Number Information
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NPI Number | 1427223981
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Entity Type | Organization
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Legal Business Name | STANLEY D. OSWIECINSKI,D.D.S.,INC.
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 874 E AURORA RD
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City | MACEDONIA
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State | OH
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Zip | 44056-1904
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Country | US
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Telephone | 330-467-4189
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Fax |
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Provider Business Mailing Address
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Address Line | 372 WHITE SPRUCE DR
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City | MACEDONIA
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State | OH
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Zip | 44056-1056
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Country | US
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Telephone | 330-467-4189
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STANLEY D. OSWIECINSKI
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Credential | D.D.S.
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Telephone | 330-467-4189
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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 | 30013137
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License Number State | OH
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