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General NPI Number Information
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NPI Number | 1518514975
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Entity Type | Organization
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Legal Business Name | ROBERT R TERAMAE, DDS
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 1800 LINGLESTOWN RD STE 308
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City | HARRISBURG
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State | PA
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Zip | 17110-3345
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Country | US
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Telephone | 717-233-4566
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Fax | 717-233-4566
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Provider Business Mailing Address
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Address Line | 1800 LINGLESTOWN RD STE 308
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City | HARRISBURG
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State | PA
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Zip | 17110-3345
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Country | US
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Telephone | 717-233-4566
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Fax | 717-233-4566
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT RIKIO TERAMAE
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Credential | DDS
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Telephone | 717-233-4944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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