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General NPI Number Information
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NPI Number | 1760641880
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN ENDODONTICS
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 10/04/2017
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Provider Practice Location Address
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Address Line | 6530 RT 22 SALEM PLACE SUITE 305
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City | DELMONT
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State | PA
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Zip | 15626
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Country | US
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Telephone | 724-461-7191
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Fax | 724-461-7597
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Provider Business Mailing Address
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Address Line | 6530 RT 22 SALEM PLACE SUITE 305
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City | DELMONT
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State | PA
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Zip | 15626
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Country | US
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Telephone | 724-461-7191
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Fax | 724-461-7597
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Authorized Official
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Title or Position | OWNER
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Name | DR. HEIDI A RAY
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Credential | DMD
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Telephone | 724-461-7161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DS027224-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State | PA
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