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General NPI Number Information
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NPI Number | 1043821002
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Entity Type | Organization
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Legal Business Name | UPMC KANE
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 81 CLARION RD
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City | JOHNSONBURG
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State | PA
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Zip | 15845-1656
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Country | US
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Telephone | 814-389-4412
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Fax |
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Provider Business Mailing Address
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Address Line | 81 CLARION RD
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City | JOHNSONBURG
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State | PA
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Zip | 15845-1656
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Country | US
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Telephone | 814-389-4412
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Fax |
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Authorized Official
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Title or Position | VP OPS
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Name | MARK PAPALIA
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Credential |
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Telephone | 814-837-4514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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