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General NPI Number Information
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NPI Number | 1912206970
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Entity Type | Organization
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Legal Business Name | LITTLE SMILES, P.C.
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Dates
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Enumeration Date | 03/16/2011
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 1247 S CEDAR CREST BLVD SUITE 300
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City | ALLENTOWN
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State | PA
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Zip | 18103-6298
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Country | US
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Telephone | 610-628-1228
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Fax |
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Provider Business Mailing Address
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Address Line | 401 COMMERCE DR SUITE 1087
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City | FORT WASHINGTON
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State | PA
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Zip | 19034-2714
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Country | US
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Telephone | 215-550-7186
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Fax | 215-646-6369
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | PHI LE
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Credential |
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Telephone | 215-550-7186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS-029417-L
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License Number State | PA
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