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General NPI Number Information
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NPI Number | 1669771713
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Entity Type | Organization
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Legal Business Name | A DENTISTRY PLACE, PC
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 1079 GREENTREE RD STE 1
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City | PITTSBURGH
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State | PA
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Zip | 15220-3122
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Country | US
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Telephone | 412-531-1113
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Fax |
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Provider Business Mailing Address
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Address Line | 1352 MORGAN CIR
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City | CANONSBURG
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State | PA
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Zip | 15317-9539
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Country | US
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Telephone | 347-731-2090
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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. DAVID M HSIEH
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Credential | DDS
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Telephone | 347-731-2090
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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 | DS036041
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License Number State | PA
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