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General NPI Number Information
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NPI Number | 1003078478
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Entity Type | Individual
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Provider Name | JENNIFER KRISTE DALTON D.M.D
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Gender | Female
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 8135 PERRY HWY
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City | PITTSBURGH
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State | PA
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Zip | 15237-5233
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Country | US
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Telephone | 412-364-6364
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Fax |
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Provider Business Mailing Address
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Address Line | 3006 STURBRIDGE CT
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City | ALLISON PARK
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State | PA
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Zip | 15101-1538
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Country | US
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Telephone | 724-331-6226
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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 | DS037525
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License Number State | PA
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