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General NPI Number Information
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NPI Number | 1619289956
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Entity Type | Individual
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Provider Name | TREVOR HAMILTON SMITH D.M.D
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Gender | Male
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 4725 MCKNIGHT RD STE 211
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City | PITTSBURGH
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State | PA
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Zip | 15237
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Country | US
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Telephone | 412-366-6900
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Fax | 412-366-2442
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Provider Business Mailing Address
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Address Line | 10405 MEINERT RD
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City | WEXFORD
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State | PA
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Zip | 15090-9545
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Country | US
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Telephone | 814-931-0215
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS038356
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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 | R486
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License Number State | MN
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