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General NPI Number Information
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NPI Number | 1063417350
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Entity Type | Organization
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Legal Business Name | MCC CARDIOLOGY ASSOCIATES, INC.
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1350 LOCUST ST STE 300
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City | PITTSBURGH
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State | PA
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Zip | 15219-4738
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Country | US
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Telephone | 412-232-8011
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Fax | 412-232-5639
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Provider Business Mailing Address
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Address Line | 1518 FORBES AVE
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City | PITTSBURGH
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State | PA
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Zip | 15219-5112
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Country | US
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Telephone | 412-232-5546
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Fax | 412-232-5548
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Authorized Official
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Title or Position | LEAD PHYSICIAN
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Name | THOMAS GENERALOVICH
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Credential | M.D.
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Telephone | 412-232-8011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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