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General NPI Number Information
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NPI Number | 1144335464
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Entity Type | Organization
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Legal Business Name | GRUENDEL EANS PC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 3506 5TH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15213-3310
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Country | US
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Telephone | 412-621-0200
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Fax | 412-621-9414
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Provider Business Mailing Address
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Address Line | 3506 5TH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15213-3310
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Country | US
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Telephone | 412-621-0200
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Fax | 412-621-9414
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Authorized Official
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Title or Position | FRONT OFFICE/ INS. COORD
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Name | TINA FISHER
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Credential |
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Telephone | 412-621-0200
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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 | DS016567L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DS024036L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DS019246L
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License Number State | PA
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