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General NPI Number Information
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NPI Number | 1639704513
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Entity Type | Organization
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Legal Business Name | SOUTH HILLS DENTAL CARE COMPANY
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 300 WEYMAN RD STE 260
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City | PITTSBURGH
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State | PA
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Zip | 15236-1591
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Country | US
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Telephone | 412-882-1320
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Fax |
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Provider Business Mailing Address
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Address Line | 300 WEYMAN RD STE 260
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City | PITTSBURGH
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State | PA
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Zip | 15236-1591
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Country | US
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Telephone | 412-882-1320
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM SCOTT POLING
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Credential | DDS
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Telephone | 412-882-1320
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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 |
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License Number State |
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