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General NPI Number Information
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NPI Number | 1932761533
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Entity Type | Individual
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Provider Name | PAUL JONATHAN KOLMAN DMD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 3915 W LINCOLN HWY
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-5502
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Country | US
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Telephone | 610-269-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 GLENBROOK RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-8322
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Country | US
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Telephone | 215-680-4588
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS042298
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.026597
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS042298
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License Number State | PA
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