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General NPI Number Information
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NPI Number | 1609943810
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Entity Type | Organization
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Legal Business Name | L WILLIAM VEIHDEFFER DMD PC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 04/21/2010
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Provider Practice Location Address
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Address Line | 2021 W 8TH ST
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City | ERIE
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State | PA
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Zip | 16505-4739
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Country | US
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Telephone | 814-455-9194
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Fax | 814-454-3856
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Provider Business Mailing Address
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Address Line | 2021 W 8TH ST
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City | ERIE
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State | PA
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Zip | 16505-4739
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Country | US
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Telephone | 814-455-9194
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Fax | 814-454-3856
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Authorized Official
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Title or Position | OWNER
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Name | DR. L WILLIAM VEIHDEFFER
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Credential | DMD
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Telephone | 814-455-9194
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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 | DS022411L
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License Number State | PA
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