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General NPI Number Information
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NPI Number | 1659100832
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Entity Type | Organization
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Legal Business Name | RHAWNHURST FAMILY DENTISTRY PC
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 1603 RHAWN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2917
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Country | US
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Telephone | 267-388-7012
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Fax |
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Provider Business Mailing Address
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Address Line | 2991 W SCHOOL HOUSE LN APT EW14
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City | PHILADELPHIA
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State | PA
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Zip | 19144-5354
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Country | US
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Telephone | 805-793-7535
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Fax |
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Authorized Official
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Title or Position | DR.
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Name | AKSHAY DHALL
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Credential |
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Telephone | 805-793-7535
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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 |
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License Number State |
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