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NPI 1134497233

NPI 1134497233 : COLLEEN ROSE CAIN DMD : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1134497233
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    Entity Type          |    Individual 
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    Provider Name        |    COLLEEN ROSE CAIN DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/05/2011
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    Last Update Date     |    02/28/2018
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Provider Practice Location Address
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    Address Line         |    3757 LIBRARY RD 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15234
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    Country              |    US
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    Telephone            |    412-343-9999
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    Fax                  |    412-343-2939
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Provider Business Mailing Address
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    Address Line         |    3757 LIBRARY RD 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15234
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    Country              |    US
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    Telephone            |    412-343-9999
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    Fax                  |    412-343-2939
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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       |    DS038268
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    License Number State |    PA
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