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General NPI Number Information
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NPI Number | 1659556728
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Entity Type | Organization
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Legal Business Name | NORTH PITTSBURGH ORAL SURGERY ASSOC LTD
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 10/08/2008
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Provider Practice Location Address
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Address Line | 9380 MCKNIGHT ROAD SUITE 203
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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 | 412-367-3222
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Fax | 412-367-3373
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Provider Business Mailing Address
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Address Line | 9380 MCKNIGHT ROAD SUITE 203
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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 | 412-367-3222
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Fax | 412-367-3373
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. R KENT GALEY
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Credential | DMD
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Telephone | 412-367-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS023396L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS036312
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS017609L
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License Number State | PA
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