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General NPI Number Information
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NPI Number | 1760827927
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Entity Type | Organization
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Legal Business Name | ADVANCED DENTISTRY
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 721 BETHLEHEM PIKE
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City | MONTGOMERYVILLE
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State | PA
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Zip | 18936-9602
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Country | US
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Telephone | 267-649-7523
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Fax | 267-263-2184
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Provider Business Mailing Address
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Address Line | 721 BETHLEHEM PIKE
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City | MONTGOMERYVILLE
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State | PA
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Zip | 18936-9602
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Country | US
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Telephone | 267-649-7523
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Fax | 267-263-2184
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MISS ALLISON LYNN KRIEBEL
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Credential |
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Telephone | 267-770-1966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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