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General NPI Number Information
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NPI Number | 1811026289
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Entity Type | Individual
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Provider Name | DAVID SOLOMON IGLEWICZ DMD
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Gender | Male
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Dates
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Enumeration Date | 03/03/2007
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Last Update Date | 03/29/2011
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Provider Practice Location Address
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Address Line | 3915 W LINCOLN HWY
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-5502
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Country | US
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Telephone | 610-269-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 210 SHELBOURNE LANE
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-5757
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS035024
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License Number State | PA
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