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General NPI Number Information
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NPI Number | 1871206714
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW DENTAL PRACTICE ASSOCIATES
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 105 MEADOW SPRING RD
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City | GREENSBURG
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State | PA
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Zip | 15601-6935
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Country | US
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Telephone | 724-832-1835
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Fax |
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Provider Business Mailing Address
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Address Line | 105 MEADOW SPRING RD
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City | GREENSBURG
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State | PA
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Zip | 15601-6935
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Country | US
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Telephone | 724-832-1835
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. PATRICK E DONNELLY
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Credential | DMD, PHD
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Telephone | 724-832-1835
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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 |
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License Number State |
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