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General NPI Number Information
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NPI Number | 1598197881
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Entity Type | Organization
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Legal Business Name | CONTEMPORARY DENTISTRY
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Dates
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Enumeration Date | 08/08/2013
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Last Update Date | 08/08/2013
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Provider Practice Location Address
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Address Line | 3131 COLLEGE HEIGHTS BLVD SUITE 2100
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City | ALLENTOWN
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State | PA
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Zip | 18104-4812
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Country | US
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Telephone | 610-434-4077
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Fax |
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Provider Business Mailing Address
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Address Line | 3131 COLLEGE HEIGHTS BLVD SUITE 2100
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City | ALLENTOWN
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State | PA
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Zip | 18104-4812
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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 | DENTIST
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Name | JEFFREY ROSEN
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Credential |
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Telephone | 610-434-4077
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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 | DS020244-L
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License Number State | PA
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