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General NPI Number Information
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NPI Number | 1487086831
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Entity Type | Organization
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Legal Business Name | MUZZI DENTAL ASSOCIATES
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 2526 MONROEVILLE BLVD SUITE 209
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City | MONROEVILLE
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State | PA
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Zip | 15146-2358
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Country | US
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Telephone | 412-372-2451
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Fax | 412-372-4214
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Provider Business Mailing Address
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Address Line | 2526 MONROEVILLE BLVD SUITE 209
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City | MONROEVILLE
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State | PA
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Zip | 15146-2358
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Country | US
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Telephone | 412-372-2451
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Fax | 412-372-4214
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Authorized Official
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Title or Position | OWNER
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Name | HANSINE M JOHNSON
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Credential | CDA
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Telephone | 412-431-3497
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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 | DS030870L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS027345L
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License Number State | PA
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