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General NPI Number Information
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NPI Number | 1730682113
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Entity Type | Organization
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Legal Business Name | COLLEEN R. CAIN, DMD, LLC
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 03/13/2018
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Provider Practice Location Address
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Address Line | 3757 LIBRARY RD STE 100
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City | PITTSBURGH
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State | PA
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Zip | 15234-2267
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Country | US
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Telephone | 412-343-9999
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Fax | 412-343-2939
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Provider Business Mailing Address
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Address Line | 3757 LIBRARY RD STE 100
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City | PITTSBURGH
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State | PA
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Zip | 15234-2267
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Country | US
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Telephone | 412-343-9999
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Fax | 412-343-2939
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | COLLEEN CAIN
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Credential | DMD
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Telephone | 412-343-9999
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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 | DS038268
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License Number State | PA
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