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General NPI Number Information
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NPI Number | 1437273901
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Entity Type | Individual
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Provider Name | DAVID LOUIS REGINE DMD
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 431 RAILROAD ST
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-2329
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Country | US
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Telephone | 412-221-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 PESAVENTO DR
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-2617
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Country | US
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Telephone | 412-221-6250
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Fax |
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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 | DS021866L
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License Number State | PA
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