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General NPI Number Information
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NPI Number | 1053526582
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Entity Type | Organization
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Legal Business Name | SAMUEL C. MINES MD INC.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1050 BOWER HILL RD STE 310
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City | PITTSBURGH
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State | PA
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Zip | 15243-1870
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Country | US
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Telephone | 412-942-5750
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Fax | 412-942-5764
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Provider Business Mailing Address
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Address Line | 1050 BOWER HILL RD STE 310
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City | PITTSBURGH
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State | PA
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Zip | 15243-1870
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Country | US
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Telephone | 412-942-5750
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Fax | 412-942-5764
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Authorized Official
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Title or Position | OFFICE NURSE
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Name | MS. DARLENE NEWTON ARMEL
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Credential | LPN
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Telephone | 412-942-5750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD007628E
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License Number State | PA
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