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General NPI Number Information
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NPI Number | 1629121108
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Entity Type | Organization
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Legal Business Name | EDWARD TIRPAK DDS PC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1813 WEST ST
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City | MUNHALL
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State | PA
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Zip | 15120
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Country | US
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Telephone | 412-461-6677
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Fax |
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Provider Business Mailing Address
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Address Line | 1813 WEST ST
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City | MUNHALL
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State | PA
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Zip | 15120
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Country | US
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Telephone | 412-461-6677
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Fax |
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Authorized Official
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Title or Position | TREASURER CORPORATION
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Name | MRS. NANCY J BLICK
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Credential | TREASURER OF THE COR
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Telephone | 412-461-8895
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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 | DS013103
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License Number State | PA
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