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General NPI Number Information
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NPI Number | 1124767595
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Entity Type | Individual
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Provider Name | PARUL BHALALA DMD
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Gender | Female
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 6515 ROBINSON CENTER DR
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City | PITTSBURGH
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State | PA
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Zip | 15205-4868
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Country | US
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Telephone | 412-520-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 GRANITE DR
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City | MC DONALD
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State | PA
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Zip | 15057-2519
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Country | US
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Telephone | 412-520-5225
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS044479
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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 | 019033671
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License Number State | IL
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