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General NPI Number Information
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NPI Number | 1326290925
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Entity Type | Organization
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Legal Business Name | TERRY E. LANGETT DMD PC
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 21 BRILLIANT AVE
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City | PITTSBURGH
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State | PA
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Zip | 15215-3118
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Country | US
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Telephone | 412-781-6844
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Fax | 412-782-4182
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Provider Business Mailing Address
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Address Line | 21 BRILLIANT AVE
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City | PITTSBURGH
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State | PA
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Zip | 15215-3118
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Country | US
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Telephone | 412-781-6844
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Fax | 412-782-4182
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TERRY EDWARD LANGETT
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Credential | DMD
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Telephone | 412-781-6844
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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 | DS020673L
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License Number State | PA
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