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General NPI Number Information
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NPI Number | 1649053968
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Entity Type | Organization
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Legal Business Name | GOLDEN MILE DENTAL CENTER LLC
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Dates
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Enumeration Date | 08/18/2023
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 2804 GOLDEN MILE HWY
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City | PITTSBURGH
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State | PA
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Zip | 15239-2400
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Country | US
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Telephone | 724-325-1050
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Fax | 724-327-3021
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Provider Business Mailing Address
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Address Line | 2804 GOLDEN MILE HWY
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City | PITTSBURGH
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State | PA
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Zip | 15239-2400
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Country | US
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Telephone | 724-325-1050
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Fax | 724-327-3021
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | TERRY J STEPNICK
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Credential | DMD
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Telephone | 724-325-1050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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