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General NPI Number Information
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NPI Number | 1750852109
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Entity Type | Organization
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Legal Business Name | RINEHART, MARR, & MURDOCK DENTAL, P.C.
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Dates
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Enumeration Date | 12/11/2018
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 20 WESNER LN
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City | DANVILLE
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State | PA
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Zip | 17821-8023
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Country | US
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Telephone | 570-275-2684
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Fax |
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Provider Business Mailing Address
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Address Line | 20 WESNER LN
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City | DANVILLE
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State | PA
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Zip | 17821-8023
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Country | US
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Telephone | 570-275-2684
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Fax |
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Authorized Official
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Title or Position | OWNER/SECRETARY
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Name | DR. MATTHEW MURDOCK
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Credential | DDS
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Telephone | 570-275-2684
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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 |
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License Number State |
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