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General NPI Number Information
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NPI Number | 1275091886
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Entity Type | Organization
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Legal Business Name | GARY M CARMASSI DMD
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 8650 BABCOCK BLVD STE 3
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City | PITTSBURGH
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State | PA
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Zip | 15237-5009
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Country | US
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Telephone | 412-367-4515
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Fax |
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Provider Business Mailing Address
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Address Line | 8650 BABCOCK BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15237-5009
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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 | PRESIDENT AND CEO
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Name | NIKHIL SAHA
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Credential |
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Telephone | 908-533-4386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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