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General NPI Number Information
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NPI Number | 1841825015
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Entity Type | Organization
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Legal Business Name | ABOVE & BEYOND FAMILY DENTISTRY, LLC
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Dates
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Enumeration Date | 03/09/2020
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Last Update Date | 03/09/2020
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Provider Practice Location Address
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Address Line | 286 N MAIN ST
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City | YORK NEW SALEM
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State | PA
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Zip | 17371-2009
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Country | US
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Telephone | 717-792-0484
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Fax | 717-792-9723
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Provider Business Mailing Address
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Address Line | PO BOX 307
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City | YORK NEW SALEM
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State | PA
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Zip | 17371-0307
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Country | US
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Telephone | 717-792-0484
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Fax | 717-792-9723
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Authorized Official
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Title or Position | CREDENTIALING/PERSONAL ASSISTANT
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Name | REBECCA S MARKLE
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Credential |
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Telephone | 717-476-3239
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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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