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General NPI Number Information
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NPI Number | 1114466349
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Entity Type | Organization
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Legal Business Name | NERVE PAIN CENTERS OF WESTERN PENNSYLVANIA
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Dates
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Enumeration Date | 02/21/2017
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Last Update Date | 03/02/2017
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Provider Practice Location Address
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Address Line | 874 BUTLER ST SUITE 1
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City | PITTSBURGH
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State | PA
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Zip | 15223-1331
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Country | US
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Telephone | 412-860-3146
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Fax |
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Provider Business Mailing Address
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Address Line | 874 BUTLER ST SUITE 1
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City | PITTSBURGH
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State | PA
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Zip | 15223-1331
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Country | US
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Telephone | 412-860-3146
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. VINCENT J MORREALE
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Credential | DC
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Telephone | 412-860-3146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD449496
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License Number State | PA
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