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General NPI Number Information
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NPI Number | 1518169820
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Entity Type | Individual
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Provider Name | RANA LYNN MATHIAS DDS
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Gender | Female
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 420 E PARK ST
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-2267
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Country | US
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Telephone | 717-367-2423
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Fax | 717-367-9664
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Provider Business Mailing Address
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Address Line | 756 WOODFIELD DR
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City | LITITZ
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State | PA
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Zip | 17543-6601
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Country | US
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Telephone | 717-569-2060
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS031278L
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License Number State | PA
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