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General NPI Number Information
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NPI Number | 1356361653
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Entity Type | Individual
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Provider Name | DAVID BURTON FALL DMD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 09/26/2012
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Provider Practice Location Address
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Address Line | 3471 FIFTH AVENUE SUITE 1114 KAUFMANN MADICAL BUILDING
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City | PITTSBURGH
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State | PA
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Zip | 15213
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Country | US
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Telephone | 412-471-2655
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Fax | 412-681-7071
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Provider Business Mailing Address
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Address Line | 3471 5TH AVE SUITE 1114 LILLIAN KAUFMANN MEDICAL BUILDING
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City | PITTSBURGH
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State | PA
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Zip | 15213-3215
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Country | US
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Telephone | 412-471-2655
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Fax | 412-681-7071
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DS016679L
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License Number State | PA
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