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General NPI Number Information
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NPI Number | 1689921710
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Entity Type | Individual
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Provider Name | DAVID BADI THURBER DDS
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Gender | Male
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 3425 ERIE BLVD E ASPEN DENTAL
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City | DE WITT
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State | NY
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Zip | 13214-1635
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Country | US
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Telephone | 954-483-1918
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Fax |
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Provider Business Mailing Address
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Address Line | 710 DUNCAN AVE APT 1412
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City | PITTSBURGH
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State | PA
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Zip | 15237-5063
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Country | US
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Telephone | 954-483-1918
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 056082
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License Number State | NY
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