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General NPI Number Information
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NPI Number | 1558988212
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Entity Type | Individual
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Provider Name | OLIVIA FLEISCHER DMD
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Gender | Female
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Dates
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Enumeration Date | 06/29/2020
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 600D EDEN RD
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City | LANCASTER
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State | PA
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Zip | 17601-4205
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Country | US
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Telephone | 717-569-7787
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Fax |
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Provider Business Mailing Address
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Address Line | 200 W KLEINE LN APT 315
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City | LITITZ
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State | PA
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Zip | 17543-6310
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Country | US
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Telephone | 570-656-4453
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DN1858709
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS044709
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License Number State | PA
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