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General NPI Number Information
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NPI Number | 1497975460
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Entity Type | Organization
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Legal Business Name | O'DONNELL AND PHILLIPS LLC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 230 HARRISBURG AVE SUITE 5
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City | LANCASTER
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State | PA
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Zip | 17603-2959
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Country | US
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Telephone | 717-293-2784
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Fax | 717-293-2793
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Provider Business Mailing Address
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Address Line | 230 HARRISBURG AVE SUITE 5
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City | LANCASTER
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State | PA
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Zip | 17603-2959
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Country | US
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Telephone | 717-293-2784
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Fax | 717-293-2793
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL T O'DONNELL
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Credential | DDS
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Telephone | 717-293-2784
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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 |
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License Number State |
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