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General NPI Number Information
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NPI Number | 1922049964
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Entity Type | Individual
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Provider Name | ROBERT G. TEUCHTLER, JR, D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 37 RIVERSIDE DR
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City | BINGHAMTON
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State | NY
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Zip | 13905-4508
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Country | US
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Telephone | 607-723-0187
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Fax | 607-772-6692
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Provider Business Mailing Address
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Address Line | 37 RIVERSIDE DR
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City | BINGHAMTON
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State | NY
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Zip | 13905-4508
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Country | US
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Telephone | 607-723-0187
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Fax | 607-772-6692
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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 | 026665
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License Number State | NY
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