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General NPI Number Information
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NPI Number | 1821638883
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Entity Type | Individual
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Provider Name | CULLEN DOYLE DMD
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Gender | Male
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 111 WASHINGTON ST
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City | WASHINGTON
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State | PA
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Zip | 15301-4605
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Country | US
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Telephone | 412-344-4663
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Fax |
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Provider Business Mailing Address
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Address Line | 1641 HOLLOW TREE DR
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City | PITTSBURGH
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State | PA
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Zip | 15241-2960
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS042388
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS042388
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License Number State | PA
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