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General NPI Number Information
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NPI Number | 1962743096
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Entity Type | Organization
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Legal Business Name | ELIZABETH A JOSEPH, DMD, PC
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Dates
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Enumeration Date | 03/14/2013
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Last Update Date | 03/14/2013
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Provider Practice Location Address
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Address Line | 337 3RD AVE
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City | KINGSTON
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State | PA
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Zip | 18704-5819
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Country | US
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Telephone | 570-714-1800
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Fax | 570-714-1818
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Provider Business Mailing Address
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Address Line | 337 3RD AVE
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City | KINGSTON
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State | PA
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Zip | 18704-5819
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Country | US
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Telephone | 570-714-1800
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Fax | 570-714-1818
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Authorized Official
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Title or Position | OWNDER/DENTIST
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Name | MRS. ELIZABETH ANN JOSEPH
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Credential | DMD
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Telephone | 570-714-1800
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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 |
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License Number State |
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