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General NPI Number Information
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NPI Number | 1780362269
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Entity Type | Individual
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Provider Name | DENNIS JAMES PITSILIDES DDS
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Gender | Male
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 2504 E CENTER ST
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City | WARSAW
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State | IN
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Zip | 46580-3876
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Country | US
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Telephone | 574-267-6651
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Fax |
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Provider Business Mailing Address
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Address Line | 1615 IRONGATE CIR
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City | ZIONSVILLE
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State | IN
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Zip | 46077-1828
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Country | US
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Telephone | 219-629-9938
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12014188A
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License Number State | IN
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