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General NPI Number Information
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NPI Number | 1982089041
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Entity Type | Individual
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Provider Name | ALYSSA LYNN FUREY D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2015
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 500 WAKEFIELD DR
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City | CORTLAND
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State | OH
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Zip | 44410-1504
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Country | US
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Telephone | 330-638-3065
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1420
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City | HERMITAGE
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State | PA
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Zip | 16148-0420
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS040573
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.026053
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License Number State | OH
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