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General NPI Number Information
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NPI Number | 1073107447
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Entity Type | Individual
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Provider Name | BRIDGETTE SERRECCHIA PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/25/2021
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Last Update Date | 04/14/2023
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Provider Practice Location Address
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Address Line | 200 LOTHROP ST
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City | PITTSBURGH
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State | PA
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Zip | 15213-2536
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Country | US
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Telephone | 412-648-6017
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Fax |
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Provider Business Mailing Address
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Address Line | 261 SHADY AVE APT 11
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City | PITTSBURGH
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State | PA
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Zip | 15206-4336
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Country | US
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Telephone | 267-371-0099
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA062371
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA062371
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License Number State | PA
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