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General NPI Number Information
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NPI Number | 1770798555
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Entity Type | Organization
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Legal Business Name | FAINA M. BADINEVA DDS
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 10/21/2013
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Provider Practice Location Address
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Address Line | 1518 WALNUT ST SUITE 400
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City | PHILADELPHIA
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State | PA
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Zip | 19102-3419
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Country | US
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Telephone | 215-772-0707
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Fax | 215-772-0271
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Provider Business Mailing Address
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Address Line | 1518 WALNUT ST SUITE 400
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City | PHILADELPHIA
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State | PA
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Zip | 19102-3419
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Country | US
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Telephone | 215-772-0707
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Fax | 215-772-0271
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FAINA M BADINEVA
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Credential | DDS
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Telephone | 215-772-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS031415L
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License Number State | PA
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