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General NPI Number Information
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NPI Number | 1801836275
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Entity Type | Organization
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Legal Business Name | ENDODONTIC ASSOCIATES LTD.
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1050 BALTIMORE PIKE
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City | SPRINGFIELD
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State | PA
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Zip | 19064-2853
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Country | US
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Telephone | 610-543-2288
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Fax | 610-543-3399
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Provider Business Mailing Address
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Address Line | 1050 BALTIMORE PIKE
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City | SPRINGFIELD
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State | PA
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Zip | 19064-2853
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Country | US
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Telephone | 610-543-2288
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Fax | 610-543-3399
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Authorized Official
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Title or Position | PARTNER
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Name | DR. JAMES R. GRANITE
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Credential | D.M.D.
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Telephone | 610-543-2288
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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 |
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License Number State |
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