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General NPI Number Information
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NPI Number | 1538832340
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Entity Type | Organization
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Legal Business Name | NEELEY DENTAL LLC
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 265 COLLEGE AVE STE 1
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City | BEAVER
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State | PA
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Zip | 15009-2744
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Country | US
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Telephone | 724-774-1149
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Fax | 724-774-9466
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Provider Business Mailing Address
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Address Line | 265 COLLEGE AVE STE 1
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City | BEAVER
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State | PA
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Zip | 15009-2744
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Country | US
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Telephone | 724-774-1149
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Fax | 724-774-9466
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN WILLIAM NEELEY JR.
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Credential | DMD
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Telephone | 724-774-1149
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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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