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General NPI Number Information
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NPI Number | 1508202847
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Entity Type | Organization
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Legal Business Name | AURORA DENTAL CARE
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Dates
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Enumeration Date | 05/14/2013
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Last Update Date | 05/14/2013
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Provider Practice Location Address
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Address Line | 92 GREY STREET
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City | EAST AURORA
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State | NY
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Zip | 14052
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Country | US
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Telephone | 716-652-0190
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Fax | 716-652-2829
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Provider Business Mailing Address
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Address Line | 92 GREY STREET
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City | EAST AURORA
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State | NY
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Zip | 14052
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Country | US
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Telephone | 716-652-0190
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Fax | 716-652-2829
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEBORAH A. PETRONIO
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Credential | D.D.S.
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Telephone | 716-652-0190
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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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