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General NPI Number Information
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NPI Number | 1568885168
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Entity Type | Organization
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Legal Business Name | ARMOR DENTAL PLLC
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Dates
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Enumeration Date | 02/03/2014
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 3115 KENSINGTON AVE GROUND FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19134-2420
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Country | US
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Telephone | 267-799-6333
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Fax |
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Provider Business Mailing Address
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Address Line | 3115 KENSINGTON AVE GROUND FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19134-2420
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NIKLESHKUMAR I PATEL
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Credential | DMD
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Telephone | 267-799-6333
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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 | DS039670
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License Number State | PA
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