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General NPI Number Information
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NPI Number | 1104449859
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Entity Type | Individual
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Provider Name | ALINA MARIE HALUSIC DMD
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Gender | Female
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Dates
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Enumeration Date | 05/28/2020
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 3372 BABCOCK BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15237-2422
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Country | US
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Telephone | 412-369-9010
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Fax |
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Provider Business Mailing Address
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Address Line | 459 LAKEWOOD RD
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City | GREENSBURG
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State | PA
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Zip | 15601-9772
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Country | US
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Telephone | 724-972-8219
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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 | DS042667
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License Number State | PA
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