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General NPI Number Information
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NPI Number | 1184720963
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Entity Type | Individual
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Provider Name | ANTHONY W CHERRONE JR. DMD
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 117 FOX PLAN ROAD SUITE 202
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City | MONROEVILLE
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State | PA
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Zip | 15146
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Country | US
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Telephone | 412-856-5494
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Fax | 412-856-5495
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Provider Business Mailing Address
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Address Line | 13 COUNTRY VIEW DRIVE
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City | IRWIN
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State | PA
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Zip | 15642
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Country | US
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Telephone | 724-744-2300
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 16360L
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License Number State | PA
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