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General NPI Number Information
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NPI Number | 1558985317
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Entity Type | Organization
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Legal Business Name | OXFORD DENTAL LLC
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Dates
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Enumeration Date | 06/07/2020
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Last Update Date | 06/07/2020
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Provider Practice Location Address
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Address Line | 5233 OXFORD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19124-1803
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Country | US
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Telephone | 267-671-7380
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 THRUSH LN
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-2027
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Country | US
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Telephone | 267-671-7380
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FATBARDHA ALIAJ
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Credential | DMD
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Telephone | 267-671-7380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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