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General NPI Number Information
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NPI Number | 1487825923
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Entity Type | Organization
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Legal Business Name | ALLCARE DENTAL & DENTURES PC
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 5109 ROUTE 30 SUITE A
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City | GREENSBURG
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State | PA
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Zip | 15601-7750
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Country | US
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Telephone | 724-834-6720
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Fax | 724-834-3419
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Provider Business Mailing Address
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Address Line | PO BOX 369
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City | CLARENCE
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State | NY
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Zip | 14031-0369
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Country | US
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Telephone | 716-204-4999
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Fax | 716-632-2963
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Authorized Official
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Title or Position | CREDENTIALING
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Name | DR. ROBERT S BATES
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Credential |
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Telephone | 716-622-1563
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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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