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General NPI Number Information
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NPI Number | 1346384856
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Entity Type | Organization
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Legal Business Name | EMANUEL W AMURGIS
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 1201 BROUGHTON RD
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City | PITTSBURGH
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State | PA
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Zip | 15236-3451
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Country | US
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Telephone | 412-655-3020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10955
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City | PITTSBURGH
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State | PA
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Zip | 15236-0955
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Country | US
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Telephone | 412-655-3020
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. EMANUEL W AMURGIS
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Credential | DMD
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Telephone | 412-655-3020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 021502L
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License Number State | PA
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