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General NPI Number Information
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NPI Number | 1164186938
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Entity Type | Organization
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Legal Business Name | PEARL DENTISTRY OF SOUTH HILLS PLLC
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 901 CASTLE SHANNON BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15234-1603
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Country | US
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Telephone | 412-561-6660
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Fax | 412-766-7532
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Provider Business Mailing Address
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Address Line | 901 CASTLE SHANNON BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15234-1603
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Country | US
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Telephone | 412-561-6660
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Fax | 412-766-7532
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Authorized Official
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Title or Position | OWNER/DMD
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Name | DR. MATTHEW LEE WEISS
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Credential | DMD
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Telephone | 724-612-2729
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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 |
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License Number State |
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