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General NPI Number Information
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NPI Number | 1245005180
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Entity Type | Organization
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Legal Business Name | EGLASH DENTAL STUDIO LLC
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 1900 MURRAY AVE SUITE 201/202
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City | PITTSBURGH
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State | PA
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Zip | 15217-1657
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Country | US
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Telephone | 412-519-9920
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Fax |
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Provider Business Mailing Address
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Address Line | 207 MCLEAN PL
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City | PITTSBURGH
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State | PA
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Zip | 15217-4504
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Country | US
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Telephone | 412-519-9920
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RACHEL K EGLASH
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Credential | DMD
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Telephone | 412-519-9920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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