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General NPI Number Information
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NPI Number | 1932226768
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Entity Type | Organization
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Legal Business Name | ALAN H. SHECHTMAN, DDS, PC
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Dates
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Enumeration Date | 03/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 255 S 17TH ST SUITE 1901
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6231
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Country | US
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Telephone | 215-546-8868
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Fax | 215-546-4928
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Provider Business Mailing Address
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Address Line | 255 S 17TH ST SUITE 1901
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6231
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Country | US
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Telephone | 215-546-8868
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Fax | 215-546-4928
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN HOWARD SHECHTMAN
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Credential | DDS
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Telephone | 215-546-8868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DS018296L
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License Number State | PA
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