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General NPI Number Information
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NPI Number | 1497957047
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Entity Type | Organization
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Legal Business Name | FRANCISCO PICO FAZZI DDS FADSA PC THE CENTER FOR PAINLESS DENTISTRY
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 05/27/2015
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Provider Practice Location Address
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Address Line | 649 W GERMANTOWN PIKE SUITE 100
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1036
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Country | US
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Telephone | 610-397-1020
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Fax | 610-397-1284
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Provider Business Mailing Address
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Address Line | 649 W GERMANTOWN PIKE SUITE 100
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1036
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Country | US
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Telephone | 610-397-1020
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Fax | 610-397-1284
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANCISCO J PICO FAZZI
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Credential | DDS
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Telephone | 610-397-1020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS027591L
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License Number State | PA
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