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General NPI Number Information
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NPI Number | 1669818472
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Entity Type | Organization
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Legal Business Name | PITTSBURGH DENTAL ASSOCIATES, L.L.C.
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 07/16/2013
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Provider Practice Location Address
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Address Line | 4701 BAPTIST RD SUITE 100
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City | PITTSBURGH
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State | PA
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Zip | 15227-1117
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Country | US
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Telephone | 412-884-7757
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Fax |
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Provider Business Mailing Address
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Address Line | 315 DUTCH LN
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City | PITTSBURGH
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State | PA
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Zip | 15236-4330
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Country | US
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Telephone | 412-370-6316
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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 ANDROS
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Credential | D.D.S.
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Telephone | 412-370-6316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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