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General NPI Number Information
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NPI Number | 1063625473
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Entity Type | Organization
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Legal Business Name | MEDICAL AND ENDOCRINE ASSOCIATES
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 04/19/2013
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Provider Practice Location Address
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Address Line | 420 W MAIN ST
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City | MONONGAHELA
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State | PA
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Zip | 15063-2552
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Country | US
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Telephone | 724-258-8680
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Fax |
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Provider Business Mailing Address
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Address Line | 420 W MAIN ST
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City | MONONGAHELA
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State | PA
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Zip | 15063-2552
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Country | US
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Telephone | 724-258-8680
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SILVANA YOVANOF
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Credential | M.D.
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Telephone | 724-258-8680
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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 | MD046661L
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License Number State | PA
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