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General NPI Number Information
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NPI Number | 1497225833
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Entity Type | Organization
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Legal Business Name | P2 DENTAL P.A.
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 100 SUSSEX AVE
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City | MILFORD
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State | DE
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Zip | 19963-1823
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Country | US
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Telephone | 302-422-6924
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Fax | 302-422-6768
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Provider Business Mailing Address
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Address Line | 100 SUSSEX AVE
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City | MILFORD
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State | DE
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Zip | 19963-1823
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Country | US
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Telephone | 302-422-6924
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Fax | 302-422-6768
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Authorized Official
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Title or Position | PRESIDENT
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Name | JITEN PATEL
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Credential | DDS
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Telephone | 302-422-6924
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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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