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General NPI Number Information
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NPI Number | 1932848389
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Entity Type | Individual
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Provider Name | NISHALI DILIP BERA DMD
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Gender | Female
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 300 GREENWOOD PLZ
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City | BUTLER
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State | PA
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Zip | 16001-1626
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Country | US
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Telephone | 724-285-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 4609 BAYARD ST APT 117
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City | PITTSBURGH
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State | PA
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Zip | 15213-2727
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Country | US
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Telephone | 484-387-9530
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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 | DS043658
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License Number State | PA
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