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General NPI Number Information
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NPI Number | 1992208201
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Entity Type | Organization
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Legal Business Name | A2Z SMILE CARE
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 03/13/2018
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Provider Practice Location Address
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Address Line | 201 S EASTON RD
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City | GLENSIDE
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State | PA
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Zip | 19038-4403
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Country | US
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Telephone | 215-576-1155
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Fax |
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Provider Business Mailing Address
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Address Line | 114 GORDON LN
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City | NORTH WALES
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State | PA
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Zip | 19454-4278
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Country | US
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Telephone | 215-237-1525
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEVV BHAGAT
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Credential |
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Telephone | 215-237-1525
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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 |
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License Number State |
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