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General NPI Number Information
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NPI Number | 1063565828
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Entity Type | Organization
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Legal Business Name | ST. BARNABAS MEDICAL CENTER
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 5830 MERIDIAN RD
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City | GIBSONIA
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State | PA
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Zip | 15044-9668
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Country | US
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Telephone | 724-444-4727
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Fax | 724-443-8651
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Provider Business Mailing Address
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Address Line | 5830 MERIDIAN RD
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City | GIBSONIA
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State | PA
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Zip | 15044-9668
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Country | US
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Telephone | 724-444-4727
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Fax | 724-443-8651
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Authorized Official
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Title or Position | DENTAL ACCT MGR
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Name | MRS. MICHELE SNYDER
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Credential |
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Telephone | 724-444-4727
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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 | DS026467L
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License Number State | PA
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