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General NPI Number Information
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NPI Number | 1871716167
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Entity Type | Individual
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Provider Name | JON RANDALL ARMSTRONG DDS
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 528 WASHINGTON RD
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City | MT LEBANON
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State | PA
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Zip | 15228-2817
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Country | US
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Telephone | 412-343-5422
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Fax |
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Provider Business Mailing Address
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Address Line | 624 30TH AVE
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City | MONROE
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State | WI
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Zip | 53566-1936
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Country | US
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Telephone | 608-558-1417
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4986
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS44352
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License Number State | PA
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