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General NPI Number Information
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NPI Number | 1649280504
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Entity Type | Individual
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Provider Name | ROBERT EDWARD ROSSWOG D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 333 THOMPSON RUN RD
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City | PITTSBURGH
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State | PA
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Zip | 15237-3367
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Country | US
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Telephone | 412-486-7344
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Fax | 412-486-8299
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Provider Business Mailing Address
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Address Line | 333 THOMPSON RUN RD
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City | PITTSBURGH
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State | PA
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Zip | 15237-3367
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Country | US
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Telephone | 412-486-7344
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Fax | 412-486-8299
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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 | DS027792L
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License Number State | PA
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