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General NPI Number Information
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NPI Number | 1568784619
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Entity Type | Organization
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Legal Business Name | MOUNT JOY DENTAL ASSOCIATES, PC
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Dates
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Enumeration Date | 02/17/2010
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Last Update Date | 02/17/2010
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Provider Practice Location Address
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Address Line | 1210 E MAIN ST
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City | MOUNT JOY
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State | PA
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Zip | 17552-9338
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Country | US
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Telephone | 717-928-2653
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Fax | 717-928-2650
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Provider Business Mailing Address
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Address Line | 1210 E MAIN ST
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City | MOUNT JOY
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State | PA
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Zip | 17552-9338
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Country | US
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Telephone | 717-928-2653
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Fax | 717-928-2650
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Authorized Official
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Title or Position | DENTIST
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Name | DR. STEVEN D. CAWLEY
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Credential | DDS
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Telephone | 717-928-2653
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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 | DS037101
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License Number State | PA
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