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General NPI Number Information
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NPI Number | 1053433763
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Entity Type | Organization
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Legal Business Name | PITTSBURGH HOLISTIC NETWORK EAST
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 4318 NORTHERN PIKE SUITE 101
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City | MONROEVILLE
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State | PA
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Zip | 15146-2809
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Country | US
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Telephone | 412-856-2281
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Fax | 412-856-2932
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Provider Business Mailing Address
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Address Line | 4318 NORTHERN PIKE SUITE 101
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City | MONROEVILLE
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State | PA
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Zip | 15146-2809
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Country | US
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Telephone | 412-856-2281
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Fax | 412-856-2932
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MEHERNOSH PHEROZE KHAN
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Credential | MD
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Telephone | 412-856-2281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number | MD038265L
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License Number State | PA
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