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General NPI Number Information
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NPI Number | 1023806353
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Entity Type | Organization
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Legal Business Name | MEDTECH PRACTICE MANAGEMENT
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 800 VINIAL ST STE B304
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City | PITTSBURGH
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State | PA
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Zip | 15212-5175
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Country | US
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Telephone | 412-808-0520
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Fax | 412-808-0521
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Provider Business Mailing Address
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Address Line | 20225 NE 34TH CT APT 2218
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City | AVENTURA
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State | FL
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Zip | 33180-3307
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Country | US
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Telephone | 412-526-7288
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Fax | 412-808-0521
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MARCO ALCALA
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Credential | MC
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Telephone | 973-930-7365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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