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General NPI Number Information
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NPI Number | 1912024159
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Entity Type | Organization
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Legal Business Name | WEST PENN DENTAL CENTER LLC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 312 SECOND AVENUE
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City | CARNEGIE
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State | PA
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Zip | 15106-2509
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Country | US
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Telephone | 412-279-7366
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Fax | 412-279-6668
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Provider Business Mailing Address
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Address Line | 312 SECOND AVENUE
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City | CARNEGIE
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State | PA
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Zip | 15106-2509
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Country | US
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Telephone | 412-279-7366
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Fax | 412-279-6668
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Authorized Official
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Title or Position | DENTIST
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Name | DR. GREGORY STEINES
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Credential | DMD
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Telephone | 412-279-7366
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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 | DS025773L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS021038L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS037893
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License Number State | PA
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