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General NPI Number Information
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NPI Number | 1710699251
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Entity Type | Organization
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Legal Business Name | GULIA OMENE DMD LLC
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 22 PAOLI PIKE
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City | PAOLI
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State | PA
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Zip | 19301-1830
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Country | US
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Telephone | 610-644-5547
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Fax | 610-644-1081
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Provider Business Mailing Address
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Address Line | 22 PAOLI PIKE
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City | PAOLI
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State | PA
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Zip | 19301-1830
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Country | US
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Telephone | 610-644-5547
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Fax | 610-644-1081
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Authorized Official
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Title or Position | OWNER
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Name | MR. AKPO OMENE
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Credential |
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Telephone | 215-609-8649
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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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