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General NPI Number Information
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NPI Number | 1871226464
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Entity Type | Organization
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Legal Business Name | PALMA AND NARDOZZA DENTAL SERVICES
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Dates
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Enumeration Date | 07/01/2022
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 537 S MAIN ST
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City | CENTRAL SQUARE
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State | NY
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Zip | 13036-3505
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Country | US
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Telephone | 315-676-3001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4008
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City | LANCASTER
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State | PA
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Zip | 17604-4008
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Country | US
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Telephone | 856-272-4735
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | CASEY MORSE
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Credential |
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Telephone | 856-272-4735
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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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