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General NPI Number Information
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NPI Number | 1285706051
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Entity Type | Organization
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Legal Business Name | RONALD J SPERANZA DMD PC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 990 ROLAND ROAD
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City | PITTSBURGH
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State | PA
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Zip | 15221
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Country | US
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Telephone | 412-823-5252
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Fax | 412-823-1153
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Provider Business Mailing Address
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Address Line | 990 ROLAND ROAD
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City | PITTSBURGH
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State | PA
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Zip | 15221
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Country | US
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Telephone | 412-823-5252
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Fax | 412-823-1153
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RONALD J SPERANZA
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Credential | DMD
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Telephone | 412-823-5252
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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 | DS025685L
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License Number State | PA
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