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General NPI Number Information
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NPI Number | 1730906454
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Entity Type | Organization
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Legal Business Name | IPG ORAL SURGERY LLP
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Dates
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Enumeration Date | 09/24/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 841 HOSPITAL RD STE 3300
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City | INDIANA
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State | PA
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Zip | 15701-3620
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Country | US
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Telephone | 888-452-4762
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Fax |
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Provider Business Mailing Address
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Address Line | 640 KOLTER DR
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City | INDIANA
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State | PA
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Zip | 15701-3570
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Country | US
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Telephone | 724-357-7333
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Fax | 724-357-7279
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR OF REVENUE CYCLE
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Name | APRIL L MILLER
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Credential |
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Telephone | 724-357-7009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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