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General NPI Number Information
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NPI Number | 1023065240
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Entity Type | Individual
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Provider Name | PETER G MANGONE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 1350 LOCUST ST STE 220
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City | PITTSBURGH
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State | PA
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Zip | 15219-4738
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Country | US
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Telephone | 412-232-9080
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Fax | 412-232-9075
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Provider Business Mailing Address
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Address Line | 1515 LOCUST ST STE 350
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City | PITTSBURGH
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State | PA
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Zip | 15219-5131
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Country | US
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Telephone | 412-232-9080
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 9900595
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 9900595
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | MD484967
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD4844967
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License Number State | PA
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