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General NPI Number Information
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NPI Number | 1447391396
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Entity Type | Organization
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Legal Business Name | AMERICAN FAMILY DENTAL CARE P.C.
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 11911 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19116-2541
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Country | US
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Telephone | 215-673-9050
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Fax | 215-673-9052
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Provider Business Mailing Address
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Address Line | 11911 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19116-2541
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Country | US
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Telephone | 215-673-9050
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Fax | 215-673-9052
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Authorized Official
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Title or Position | DMD
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Name | BHASKAR M SAVANI
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Credential |
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Telephone | 215-673-9050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS-029417-L
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License Number State | PA
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