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General NPI Number Information
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NPI Number | 1538340112
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Entity Type | Organization
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Legal Business Name | HAROLD F. DEMSKO, D.D.S.,P.C.
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Dates
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Enumeration Date | 11/24/2007
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Last Update Date | 11/24/2007
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Provider Practice Location Address
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Address Line | 70 E WINDSOR BLVD SUITE D
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City | WINDSOR
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State | VA
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Zip | 23487-9443
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Country | US
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Telephone | 757-242-6781
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Fax | 757-242-6789
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Provider Business Mailing Address
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Address Line | 70 E WINDSOR BLVD SUITE D
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City | WINDSOR
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State | VA
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Zip | 23487-9443
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Country | US
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Telephone | 757-242-6781
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Fax | 757-242-6789
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAROLD F DEMSKO
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Credential | D.D.S.
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Telephone | 757-242-6781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 6559
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License Number State | VA
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