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General NPI Number Information
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NPI Number | 1669349361
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Entity Type | Organization
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Legal Business Name | NUSQUARE DENTAL
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 218 S NEWTOWN STREET RD
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-4000
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Country | US
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Telephone | 215-200-5165
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Fax | 610-375-6923
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Provider Business Mailing Address
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Address Line | 111 PARKVIEW WAY
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-2254
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Country | US
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Telephone | 215-200-5165
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Fax | 610-375-6923
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Authorized Official
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Title or Position | DENTIST
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Name | DR. NEELIMA PITCHIKA
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Credential | DDS
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Telephone | 215-200-5165
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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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