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General NPI Number Information
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NPI Number | 1790083160
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Entity Type | Organization
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Legal Business Name | DESIGNS IN DENTISTRY, LLC
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Dates
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Enumeration Date | 03/08/2011
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Last Update Date | 03/08/2011
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Provider Practice Location Address
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Address Line | 580 S AIKEN AVE SUITE 620
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City | PITTSBURGH
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State | PA
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Zip | 15232-1531
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Country | US
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Telephone | 412-621-5353
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Fax | 412-621-0624
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Provider Business Mailing Address
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Address Line | 580 S AIKEN AVE SUITE 620
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City | PITTSBURGH
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State | PA
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Zip | 15232-1531
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Country | US
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Telephone | 412-621-5353
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Fax | 412-621-0624
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Authorized Official
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Title or Position | OWNER
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Name | DR. TAMMY E. DEGREGORIO
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Credential | DMD, AIAOMT
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Telephone | 412-621-5353
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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 | DSO35013
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DSO27253L
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License Number State | PA
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