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General NPI Number Information
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NPI Number | 1477096212
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Entity Type | Organization
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Legal Business Name | DENTAL & DENTURES PITTSBURGH INC
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 8700 PENNSYLVANIA AVE
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City | N HUNTINGDON
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State | PA
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Zip | 15642-2762
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Country | US
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Telephone | 724-864-0070
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Fax | 724-864-8520
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Provider Business Mailing Address
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Address Line | 8700 PENNSYLVANIA AVE
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City | N HUNTINGDON
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State | PA
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Zip | 15642-2762
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Country | US
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Telephone | 724-864-0070
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Fax | 724-864-8520
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Authorized Official
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Title or Position | DIRECTOR
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Name | DOUGLAS J CLOSINSKI
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Credential |
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Telephone | 518-376-6328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | PA
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