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General NPI Number Information
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NPI Number | 1225266943
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Entity Type | Individual
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Provider Name | MATILDA DHIMA DMD, MS
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Gender | Female
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 07/03/2013
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Provider Practice Location Address
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Address Line | 3501 TERRACE ST SUITE 3189
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City | PITTSBURGH
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State | PA
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Zip | 15213-2523
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Country | US
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Telephone | 412-648-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 TERRACE ST SUITE 3189
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City | PITTSBURGH
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State | PA
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Zip | 15213-2523
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Country | US
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Telephone |
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DS039457
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | D12734
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License Number State | MN
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