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General NPI Number Information
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NPI Number | 1669577987
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Entity Type | Organization
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Legal Business Name | VENNERI DENTAL GROUP PC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3040 E COUNTY LN RD
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City | HATBORO
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State | PA
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Zip | 19040
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Country | US
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Telephone | 215-675-4090
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Fax | 215-675-9059
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Provider Business Mailing Address
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Address Line | 3040 E COUNTY LN RD
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City | HATBORO
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State | PA
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Zip | 19040
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Country | US
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Telephone | 215-675-4090
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Fax | 215-675-9059
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Authorized Official
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Title or Position | SECRETARY OF CORP
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Name | MRS. ROSANNA M VENNERI
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Credential |
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Telephone | 215-675-4090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS013110L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS025876L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS026858L
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License Number State | PA
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