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General NPI Number Information
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NPI Number | 1053545053
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Entity Type | Organization
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Legal Business Name | WESTMORELAND HEAD AND NECK SURGERY, P.C.
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 05/06/2009
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Provider Practice Location Address
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Address Line | 522 W NEWTON ST SUITE 200
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City | GREENSBURG
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State | PA
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Zip | 15601-2820
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Country | US
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Telephone | 724-834-8113
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Fax | 724-832-7496
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Provider Business Mailing Address
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Address Line | 522 W NEWTON ST SUITE 200
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City | GREENSBURG
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State | PA
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Zip | 15601-2820
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Country | US
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Telephone | 724-834-8113
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Fax | 724-832-7496
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK RICHARD KLINGENSMITH
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Credential | M.D.
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Telephone | 724-834-8113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | MD027651E
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License Number State | PA
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