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General NPI Number Information
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NPI Number | 1922399450
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Entity Type | Individual
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Provider Name | NEIL ANDREW ROBERTSON D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 5820 CENTRE AVE STE 200
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City | PITTSBURGH
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State | PA
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Zip | 15206
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Country | US
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Telephone | 412-661-7690
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Fax | 412-661-7695
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Provider Business Mailing Address
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Address Line | 5820 CENTRE AVE STE 200
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City | PITTSBURGH
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State | PA
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Zip | 15206-3710
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Country | US
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Telephone | 412-661-7690
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Fax | 412-661-7695
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS039238
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | DS039238
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License Number State | PA
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