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General NPI Number Information
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NPI Number | 1982706859
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Entity Type | Organization
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Legal Business Name | DAVID D. PAUL, D.D.S., P.C.
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 128 W OAK ST
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City | FRACKVILLE
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State | PA
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Zip | 17931-1718
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Country | US
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Telephone | 570-874-1954
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Fax | 570-874-0433
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Provider Business Mailing Address
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Address Line | 128 W OAK ST
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City | FRACKVILLE
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State | PA
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Zip | 17931-1718
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Country | US
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Telephone | 570-874-1954
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID DEAN PAUL
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Credential | DDS
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Telephone | 570-874-1954
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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 | DS026728L
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License Number State | PA
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