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General NPI Number Information
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NPI Number | 1104600840
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Entity Type | Organization
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Legal Business Name | SKIN MIND HEALTH
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Dates
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Enumeration Date | 08/23/2023
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 1515 LOCUST ST BLDG 705D
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City | PITTSBURGH
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State | PA
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Zip | 15219-5131
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Country | US
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Telephone | 412-246-3053
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Fax |
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Provider Business Mailing Address
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Address Line | 509 GLEN MITCHELL RD
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City | SEWICKLEY
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State | PA
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Zip | 15143-2017
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Country | US
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Telephone | 848-702-2843
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ALAINA J JAMES
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Credential | MD, PHD
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Telephone | 848-702-2843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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