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General NPI Number Information
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NPI Number | 1831107861
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Entity Type | Organization
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Legal Business Name | PALADINO DACHILLE AND LAING ORAL AND MAXILLOFACIAL SURGERY ASSOC PC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 03/24/2011
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Provider Practice Location Address
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Address Line | 25 GILL HALL ROAD
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City | JEFFERSON HILLS
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State | PA
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Zip | 15025
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Country | US
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Telephone | 412-653-7400
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Fax | 412-653-6827
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Provider Business Mailing Address
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Address Line | PO BOX 18073
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City | PITTSBURGH
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State | PA
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Zip | 15236
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Country | US
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Telephone | 412-653-7400
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Fax | 412-653-6827
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD D DACHILLE
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Credential | DMD
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Telephone | 412-653-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 027121
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 015934A
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License Number State | PA
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