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General NPI Number Information
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NPI Number | 1447899943
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Entity Type | Organization
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Legal Business Name | ABOVE & BEYOND FAMILY DENTISTRY, LLC
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Dates
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Enumeration Date | 12/31/2019
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 2285 FAIRFIELD RD
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City | GETTYSBURG
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State | PA
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Zip | 17325-7214
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Country | US
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Telephone | 717-334-2223
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Fax |
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Provider Business Mailing Address
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Address Line | 2285 FAIRFIELD RD
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City | GETTYSBURG
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State | PA
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Zip | 17325-7214
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Country | US
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Telephone | 717-334-2223
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TARIK JBARAH
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Credential | DMD
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Telephone | 215-820-7113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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