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General NPI Number Information
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NPI Number | 1376151910
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Entity Type | Organization
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Legal Business Name | DALTON FAMILY DENTAL LLC
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 8135 PERRY HWY
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City | PITTSBURGH
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State | PA
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Zip | 15237-5233
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Country | US
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Telephone | 412-364-6364
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Fax |
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Provider Business Mailing Address
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Address Line | 3006 STURBRIDGE CT
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City | ALLISON PARK
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State | PA
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Zip | 15101-1538
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Country | US
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Telephone | 724-331-6226
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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. JENNIFER DALTON
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Credential | DMD
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Telephone | 724-331-6226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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