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General NPI Number Information
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NPI Number | 1487671632
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Entity Type | Organization
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Legal Business Name | DAVID G. BLINKY D.M.D., P.C.
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7417 IRVINE ST
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City | PITTSBURGH
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State | PA
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Zip | 15218-2423
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Country | US
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Telephone | 412-351-0727
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Fax | 412-351-5148
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Provider Business Mailing Address
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Address Line | 7417 IRVINE ST
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City | PITTSBURGH
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State | PA
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Zip | 15218-2423
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Country | US
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Telephone | 412-351-0727
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Fax | 412-351-5148
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Authorized Official
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Title or Position | OWNER OF BUSINESS
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Name | DR. DAVID G. BLINKY
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Credential | DS019208-L
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Telephone | 412-351-0727
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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 | DS019208-L
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License Number State | PA
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