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General NPI Number Information
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NPI Number | 1063476067
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Entity Type | Organization
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Legal Business Name | UPMC/HVHS CANCER CENTER
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 03/24/2009
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Provider Practice Location Address
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Address Line | 1600 CORAOPOLIS HEIGHTS RD
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City | MOON TOWNSHIP
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State | PA
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Zip | 15108-4316
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Country | US
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Telephone | 412-604-2020
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Fax | 412-604-2046
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Provider Business Mailing Address
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Address Line | 2 HOT METAL ST QUANTUM ONE N430
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City | PITTSBURGH
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State | PA
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Zip | 15203-2348
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Country | US
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Telephone | 412-432-7706
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Fax | 412-432-7691
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CHARLES E BOGOSTA
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Credential |
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Telephone | 412-692-2451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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