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General NPI Number Information
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NPI Number | 1457060147
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Entity Type | Organization
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Legal Business Name | NORWIN FAMILY DENTAL
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 10261 CENTER HWY
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City | IRWIN
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State | PA
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Zip | 15642-2054
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Country | US
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Telephone | 724-590-5289
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Fax |
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Provider Business Mailing Address
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Address Line | 10261 CENTER HWY
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City | IRWIN
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State | PA
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Zip | 15642-2054
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Country | US
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Telephone | 724-590-5289
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DR. THOMAS ALLEN DIAS
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Credential | DMD
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Telephone | 724-590-5289
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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 |
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License Number State |
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