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General NPI Number Information
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NPI Number | 1871648790
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Entity Type | Individual
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Provider Name | DANIEL PETER WARK D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 02/08/2026
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Provider Practice Location Address
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Address Line | 801 YALE AVE STE 620
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City | SWARTHMORE
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State | PA
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Zip | 19081-1811
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Country | US
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Telephone | 610-543-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 209 RUSHLEY WAY
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City | MEDIA
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State | PA
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Zip | 19063-5514
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Country | US
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Telephone | 610-459-2855
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Fax | 610-459-2855
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS-017465-L
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License Number State | PA
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