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General NPI Number Information
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NPI Number | 1841376654
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Entity Type | Organization
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Legal Business Name | DR. ELIZABETH J. RESNICK, D.D.S., P.C.
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1092 LASKIN RD SUITE 110
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-6362
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Country | US
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Telephone | 757-428-5543
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Fax | 757-428-8801
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Provider Business Mailing Address
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Address Line | 1092 LASKIN RD SUITE 110
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-6362
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Country | US
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Telephone | 757-428-5543
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Fax | 757-428-8801
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELIZABETH JOYCE RESNICK
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Credential | D.D.S.
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Telephone | 757-428-5543
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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 | 0401005760
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License Number State | VA
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