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General NPI Number Information
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NPI Number | 1831594084
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Entity Type | Organization
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Legal Business Name | AMERI DENTAL GROUP, P.C.
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 1500 GARRETT RD
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City | UPPER DARBY
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State | PA
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Zip | 19082-4519
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Country | US
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Telephone | 610-626-0770
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Fax | 610-284-6170
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Provider Business Mailing Address
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Address Line | 1500 GARRETT RD
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City | UPPER DARBY
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State | PA
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Zip | 19082-4519
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Country | US
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Telephone | 610-626-0770
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Fax | 610-284-6170
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMISH PATEL
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Credential |
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Telephone | 610-626-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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