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General NPI Number Information
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NPI Number | 1821736828
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Entity Type | Organization
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Legal Business Name | CORE ENDODONTICS PLLC
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Dates
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Enumeration Date | 05/20/2022
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Last Update Date | 05/20/2022
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Provider Practice Location Address
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Address Line | 8954 HILL DR
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City | NORTH HUNTINGDON
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State | PA
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Zip | 15642-3112
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Country | US
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Telephone | 724-237-5009
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Fax |
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Provider Business Mailing Address
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Address Line | 507 VILLA DR
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City | VENETIA
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State | PA
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Zip | 15367-2387
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Country | US
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Telephone | 856-912-9600
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Fax |
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Authorized Official
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Title or Position | ENDODONTIST, MEMBER
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Name | DR. REBECCA WATKINS
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Credential | DMD
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Telephone | 724-237-5009
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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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