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General NPI Number Information
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NPI Number | 1073823571
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Entity Type | Organization
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Legal Business Name | ALLEGHENY CLINIC
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 100 S JACKSON AVE
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City | PITTSBURGH
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State | PA
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Zip | 15202-3428
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Country | US
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Telephone | 412-734-6020
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Fax | 412-734-6044
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Provider Business Mailing Address
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Address Line | 100 S JACKSON AVE
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City | PITTSBURGH
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State | PA
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Zip | 15202-3428
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Country | US
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Telephone | 412-734-6020
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Fax | 412-734-6044
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Authorized Official
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Title or Position | COORDINATOR
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Name | BARB AMADIO
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Credential |
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Telephone | 412-330-5015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 39D0656992
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License Number State | PA
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