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General NPI Number Information
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NPI Number | 1689718066
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Entity Type | Organization
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Legal Business Name | ANTHONY J. DIORIO DDS,PC
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Dates
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Enumeration Date | 02/18/2007
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 7046 TORRESDALE AVE
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City | PHILA
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State | PA
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Zip | 19135-1915
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Country | US
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Telephone | 215-624-4955
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Fax |
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Provider Business Mailing Address
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Address Line | 7046 TORRESDALE AVE
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City | PHILA
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State | PA
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Zip | 19135-1915
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Country | US
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Telephone | 215-624-4955
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Fax |
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Authorized Official
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Title or Position | DENTIST, PRESIDENT
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Name | DR. ANTHONY JOSEPH DIORIO
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Credential | DDS
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Telephone | 215-624-4955
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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 | DS024179L
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License Number State | PA
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