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General NPI Number Information
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NPI Number | 1073649117
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Entity Type | Organization
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Legal Business Name | UPMC COMMUNITY MEDICINE INC
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Dates
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Enumeration Date | 02/25/2007
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 212 PROSPECT AVE
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City | FRANKLIN
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State | PA
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Zip | 16323-2557
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Country | US
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Telephone | 814-432-5298
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Fax |
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Provider Business Mailing Address
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Address Line | 212 PROSPECT AVE
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City | FRANKLIN
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State | PA
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Zip | 16323-2557
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Country | US
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Telephone | 814-432-5298
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARK EHALT
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Credential |
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Telephone | 412-647-0943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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