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General NPI Number Information
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NPI Number | 1831158419
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Entity Type | Organization
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Legal Business Name | A.L. CHECCHIO & G.T. DOWD, LTD.
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 9525 FRANKFORD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19114-2812
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Country | US
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Telephone | 215-333-9696
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Fax | 215-333-8514
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Provider Business Mailing Address
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Address Line | 9525 FRANKFORD AVENUE
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City | PHILADELPHIA
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State | PA
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Zip | 19114-2812
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Country | US
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Telephone | 215-333-9696
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Fax | 215-333-8514
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Authorized Official
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Title or Position | ORAL SURGEON
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Name | DR. MARY ANNE CHECCHIO
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Credential | DDS
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Telephone | 215-333-9696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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