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General NPI Number Information
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NPI Number | 1558894113
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Entity Type | Organization
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Legal Business Name | PAUL CARPINELLO, DMD, MSD, PC
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 1041 PONTIAC RD
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City | DREXEL HILL
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State | PA
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Zip | 19026-4816
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Country | US
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Telephone | 610-446-6004
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Fax | 610-446-0459
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Provider Business Mailing Address
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Address Line | 1041 PONTIAC RD
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City | DREXEL HILL
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State | PA
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Zip | 19026-4816
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Country | US
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Telephone | 610-446-6004
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Fax | 610-446-0459
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL CARPINELLO
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Credential | DMD,MSD,PC
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Telephone | 610-446-6004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS025439L
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License Number State | PA
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