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General NPI Number Information
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NPI Number | 1467127563
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Entity Type | Organization
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Legal Business Name | AB ORTHODONTICS INC
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 750 3RD ST STE 2
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City | OAKMONT
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State | PA
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Zip | 15139-1971
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Country | US
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Telephone | 412-828-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 306 MCCUTCHEON CT
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City | GIBSONIA
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State | PA
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Zip | 15044-8948
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Country | US
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Telephone | 724-272-6748
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DARRICK BROWN
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Credential |
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Telephone | 724-272-6748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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