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General NPI Number Information
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NPI Number | 1851837330
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Entity Type | Individual
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Provider Name | DAVID JOEL YOVIC DDS
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Gender | Male
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 01/11/2017
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Provider Practice Location Address
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Address Line | 2180 MACARTHUR RD
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City | WHITEHALL
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State | PA
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Zip | 18052-4535
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Country | US
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Telephone | 717-319-6135
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Fax |
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Provider Business Mailing Address
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Address Line | 3211 PENBROOK AVE
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City | HARRISBURG
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State | PA
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Zip | 17109-4621
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Country | US
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Telephone | 717-319-6135
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DS-041119
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License Number State | PA
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