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General NPI Number Information
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NPI Number | 1831854785
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Entity Type | Organization
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Legal Business Name | CONSHOHOCKEN DENTAL ARTS P.C
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Dates
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Enumeration Date | 11/05/2021
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Last Update Date | 11/05/2021
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Provider Practice Location Address
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Address Line | 7516 CITY AVE STE 15
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City | PHILADELPHIA
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State | PA
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Zip | 19151-2102
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Country | US
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Telephone | 347-429-4151
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Fax |
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Provider Business Mailing Address
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Address Line | 38 WILSON WAY
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-1033
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Country | US
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Telephone | 347-429-4151
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MAHESHKUMAR SOLANKI
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Credential | DDS
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Telephone | 347-429-4151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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