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General NPI Number Information
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NPI Number | 1013227032
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Entity Type | Organization
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Legal Business Name | GREY AND ASSOCIATES FAMILY DENTISTRY PC
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 10/08/2010
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Provider Practice Location Address
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Address Line | 3212 LEBANON CHURCH RD
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City | WEST MIFFLIN
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State | PA
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Zip | 15122-1112
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Country | US
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Telephone | 412-466-4773
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Fax |
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Provider Business Mailing Address
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Address Line | 3212 LEBANON CHURCH RD
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City | WEST MIFFLIN
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State | PA
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Zip | 15122-1112
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Country | US
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Telephone | 412-466-4773
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. SAMI GREYWATI
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Credential | DMD
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Telephone | 412-466-4773
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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 | DS0346455
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS031103L
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License Number State | PA
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