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General NPI Number Information
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NPI Number | 1508396458
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Entity Type | Individual
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Provider Name | ERICA VAN PELT DDS
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Gender | Female
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 2301 E EVESHAM RD STE 205
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City | VOORHEES
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State | NJ
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Zip | 08043-4504
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Country | US
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Telephone | 856-772-3777
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Fax | 856-772-5878
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Provider Business Mailing Address
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Address Line | 1762 COUNTRY CLUB DR
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3339
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Country | US
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Telephone | 856-889-3147
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DS042607
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02704300
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License Number State | NJ
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