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General NPI Number Information
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NPI Number | 1467803262
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Entity Type | Organization
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Legal Business Name | HARRISBURG DENTAL CARE PC
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 4601 DEVONSHIRE RD #102
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City | HARRISBURG
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State | PA
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Zip | 17109-1547
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Country | US
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Telephone | 717-679-0618
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 425
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City | HERSHEY
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State | PA
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Zip | 17033-0425
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Country | US
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Telephone | 717-679-0618
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. BHARGAV PATEL
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Credential | DMD
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Telephone | 717-679-0618
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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 | DS038286
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License Number State | PA
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