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General NPI Number Information
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NPI Number | 1245610427
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Entity Type | Individual
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Provider Name | MEGAN E DICOSTANZO D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 1009 BEAVER GRADE RD STE 300
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City | CORAOPOLIS
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State | PA
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Zip | 15108-2969
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Country | US
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Telephone | 412-264-6229
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Fax |
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Provider Business Mailing Address
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Address Line | 106 HIDDEN VALLEY CT
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City | SEWICKLEY
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State | PA
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Zip | 15143-9381
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS040445
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License Number State | PA
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