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General NPI Number Information
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NPI Number | 1194145763
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Entity Type | Individual
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Provider Name | ANDREA MULHOLLAND DMD
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Gender | Female
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 07/29/2023
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Provider Practice Location Address
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Address Line | 320 E NORTH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15212-4756
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Country | US
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Telephone | 724-833-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 510 SIMPSON HOWELL RD
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City | ELIZABETH
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State | PA
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Zip | 15037-2818
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Country | US
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Telephone | 412-754-0524
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS040320
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License Number State | PA
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