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General NPI Number Information
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NPI Number | 1942090907
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Entity Type | Individual
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Provider Name | ALLISON JEAN PETRARCA DMD
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Gender | Female
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 1789 S BRADDOCK AVE STE 410
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City | PITTSBURGH
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State | PA
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Zip | 15218-1881
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Country | US
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Telephone | 412-247-2310
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Fax |
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Provider Business Mailing Address
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Address Line | 5797 MADISON AVE
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City | EXPORT
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State | PA
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Zip | 15632-1318
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Country | US
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Telephone | 412-607-8105
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS045128
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License Number State | PA
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