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General NPI Number Information
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NPI Number | 1851518328
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Entity Type | Organization
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Legal Business Name | HERBERT T. CASALENA, D.D.S., P.A.
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2300 PENNSYLVANIA AVE 6TH FLOOR, SUITE A&B
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City | WILMINGTON
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State | DE
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Zip | 19806-1392
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Country | US
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Telephone | 302-984-3300
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Fax | 302-984-3303
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Provider Business Mailing Address
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Address Line | 2300 PENNSYLVANIA AVE 6TH FLOOR, SUITE A&B
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City | WILMINGTON
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State | DE
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Zip | 19806-1392
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Country | US
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Telephone | 302-984-3300
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Fax | 302-984-3303
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HERBERT T CASALENA
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Credential | D.D.S.
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Telephone | 302-984-3300
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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 | G1-0000678
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License Number State | DE
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