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General NPI Number Information
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NPI Number | 1801092036
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Entity Type | Organization
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Legal Business Name | WM. P. FRICKER D.D.S. PC
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 621 W MAIN ST
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City | LANSDALE
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State | PA
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Zip | 19446-2011
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Country | US
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Telephone | 215-362-5060
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Fax | 215-362-4755
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Provider Business Mailing Address
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Address Line | 621 W MAIN ST
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City | LANSDALE
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State | PA
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Zip | 19446-2011
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Country | US
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Telephone | 215-362-5060
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Fax | 215-362-4755
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM PAUL FRICKER
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Credential | D.D.S.
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Telephone | 215-362-5060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DS-020692-L
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License Number State | PA
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