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General NPI Number Information
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NPI Number | 1538180518
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Entity Type | Organization
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Legal Business Name | CMB FAMILY DENTISTRY
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 01/19/2011
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Provider Practice Location Address
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Address Line | 7 DAVIS AVE
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City | BROOMALL
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State | PA
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Zip | 19008
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Country | US
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Telephone | 610-353-5990
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Fax | 610-356-6436
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Provider Business Mailing Address
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Address Line | 7 DAVIS AVE
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City | BROOMALL
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State | PA
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Zip | 19008
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Country | US
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Telephone | 610-353-5990
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Fax | 610-356-6436
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM EDWARD MUNLEY II
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Credential | DMD
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Telephone | 610-353-5990
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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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