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General NPI Number Information
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NPI Number | 1942340021
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Entity Type | Organization
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Legal Business Name | LEHIGH DENTAL, LLC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 223 EUGENE STREET
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City | CATASAUQUA
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State | PA
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Zip | 18032-2780
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Country | US
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Telephone | 610-266-0466
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Fax | 610-266-8665
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Provider Business Mailing Address
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Address Line | 223 EUGENE STREET
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City | CATASAUQUA
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State | PA
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Zip | 18032-2780
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Country | US
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Telephone | 610-266-0466
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Fax | 610-266-8665
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Authorized Official
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Title or Position | DENTIST
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Name | DR. THOMAS R GYORY
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Credential |
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Telephone | 610-266-0466
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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 | DS025721L
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License Number State | PA
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