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NPI 1023270139

NPI 1023270139 : ALVIN WARREN BS : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1023270139
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    Entity Type          |    Individual 
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    Provider Name        |    ALVIN WARREN BS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/30/2008
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    Last Update Date     |    06/30/2008
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Provider Practice Location Address
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    Address Line         |    1010 DELAFIELD RD 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15240-1005
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    Country              |    US
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    Telephone            |    412-784-3739
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    Fax                  |    412-784-3598
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Provider Business Mailing Address
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    Address Line         |    306 LIME OAK DR 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15235-3548
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    Country              |    US
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    Telephone            |    412-784-3739
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    Fax                  |    412-784-3598
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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        |    171000000X
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    Taxonomy Name        |    Military Health Care Provider
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    License Number       |    
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    License Number State |    
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