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General NPI Number Information
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NPI Number | 1669039442
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Entity Type | Organization
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Legal Business Name | MARYAM A CHIANI, DMD, LLC
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Dates
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Enumeration Date | 05/28/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 520 WASHINGTON RD STE 100
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City | PITTSBURGH
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State | PA
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Zip | 15228-2814
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Country | US
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Telephone | 412-341-0979
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Fax | 412-341-0194
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Provider Business Mailing Address
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Address Line | 520 WASHINGTON RD STE 100
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City | PITTSBURGH
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State | PA
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Zip | 15228-2814
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Country | US
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Telephone | 412-341-0979
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Fax | 412-341-0194
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARYAM A CHIANI
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Credential | DMD
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Telephone | 412-341-0979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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