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General NPI Number Information
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NPI Number | 1265841217
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Entity Type | Organization
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Legal Business Name | TRISTA ONESTI DDS, LLC
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 1437 RICHMOND RD
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City | LYNDHURST
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State | OH
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Zip | 44124-2449
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Country | US
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Telephone | 216-849-6514
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Fax |
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Provider Business Mailing Address
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Address Line | 30799 PINETREE RD #237
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City | PEPPER PIKE
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State | OH
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Zip | 44124-5903
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Country | US
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Telephone | 216-849-6514
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | TRISTA ONESTI
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Credential |
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Telephone | 216-849-6514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 21381
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License Number State | OH
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