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General NPI Number Information
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NPI Number | 1295093516
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Entity Type | Organization
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Legal Business Name | ASSOCIATED DENTAL SPECIALISTS
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 9380 MCKNIGHT RD ARCADIA COURT, SUITE 105
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City | PITTSBURGH
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State | PA
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Zip | 15237-5954
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Country | US
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Telephone | 412-367-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 9380 MCKNIGHT RD ARCADIA COURT, SUITE 105
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City | PITTSBURGH
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State | PA
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Zip | 15237-5954
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Country | US
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Telephone | 412-367-4800
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MR. JOHN G HISCHAR
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Credential |
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Telephone | 412-367-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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