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General NPI Number Information
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NPI Number | 1598059990
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Entity Type | Individual
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Provider Name | RICHARD WORSHAM EMMERT DDS
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Gender | Male
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 1730 SETTLER'S RIDGE CENTER DRIVE
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City | PITTSBURGH
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State | PA
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Zip | 15205
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Country | US
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Telephone | 412-781-5050
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Fax | 412-787-5020
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Provider Business Mailing Address
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Address Line | 2404 OXFORD DRIVE
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City | BETHEL PARK
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State | PA
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Zip | 15102
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Country | US
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Telephone | 412-851-5060
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Fax | 412-854-0224
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS024053-L
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License Number State | PA
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