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General NPI Number Information
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NPI Number | 1013578913
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Entity Type | Organization
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Legal Business Name | BABB ORTHODONTICS, PC
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Dates
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Enumeration Date | 06/23/2019
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Last Update Date | 06/23/2019
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Provider Practice Location Address
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Address Line | 528 WASHINGTON RD # 2
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City | PITTSBURGH
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State | PA
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Zip | 15228-2817
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Country | US
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Telephone | 412-343-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 528 WASHINGTON RD # 2
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City | PITTSBURGH
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State | PA
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Zip | 15228-2817
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Country | US
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Telephone | 412-343-5100
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. LISA BABB
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Credential | DMD, MSD
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Telephone | 412-343-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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