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General NPI Number Information
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NPI Number | 1053299701
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Entity Type | Individual
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Provider Name | OLIVIA ANN KUBLI DMD
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Gender | Female
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 4741 CLAIRTON BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15236-2115
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Country | US
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Telephone | 888-766-6130
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Fax |
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Provider Business Mailing Address
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Address Line | 420 CENTER AVE
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City | GREENSBURG
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State | PA
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Zip | 15601-1927
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Country | US
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Telephone | 412-956-4590
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS045034
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License Number State | PA
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