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General NPI Number Information
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NPI Number | 1033924865
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Entity Type | Organization
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Legal Business Name | THE ORTHOPEDIC WELLNESS CENTER OF PITTSBURGH PLLC
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 2476 WASHINGTON RD
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City | CANONSBURG
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State | PA
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Zip | 15317-2299
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Country | US
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Telephone | 717-431-6267
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Fax | 717-431-0061
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Provider Business Mailing Address
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Address Line | PO BOX 16008
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City | PITTSBURGH
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State | PA
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Zip | 15242-0008
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Country | US
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Telephone | 412-929-0249
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Fax | 412-920-5861
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Authorized Official
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Title or Position | MANAGER
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Name | BRITTANY LEE KETTER
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Credential |
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Telephone | 412-929-0249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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