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General NPI Number Information
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NPI Number | 1730531153
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Entity Type | Organization
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Legal Business Name | LEHIGH FAMILY DENTISTRY PC
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Dates
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Enumeration Date | 07/09/2016
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Last Update Date | 07/09/2016
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Provider Practice Location Address
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Address Line | 4155 INDEPENDENCE DR SUITE 2
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City | SCHNECKSVILLE
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State | PA
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Zip | 18078-2593
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Country | US
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Telephone | 610-769-5200
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Fax | 610-769-5215
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Provider Business Mailing Address
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Address Line | 4155 INDEPENDENCE DR SUITE 2
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City | SCHNECKSVILLE
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State | PA
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Zip | 18078-2593
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Country | US
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Telephone | 610-769-5200
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Fax | 610-769-5215
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BHADRESH MAKANI
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Credential | DDS
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Telephone | 281-602-9373
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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 | DS040041
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License Number State | PA
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