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General NPI Number Information
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NPI Number | 1114992799
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Entity Type | Organization
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Legal Business Name | ALLEGHENY MEDICAL PRACTICE NETWORK
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 4727 FRIENDSHIP AVE CERCONE VILLAGE, SUITE 180
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City | PITTSBURGH
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State | PA
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Zip | 15224-1770
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Country | US
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Telephone | 412-235-5800
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Fax | 412-578-6789
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Provider Business Mailing Address
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Address Line | 4727 FRIENDSHIP AVE CERCONE VILLAGE, SUITE 180
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City | PITTSBURGH
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State | PA
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Zip | 15224-1770
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Country | US
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Telephone | 412-235-5800
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Fax | 412-578-6789
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Authorized Official
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Title or Position | MANAGED CARE SPECIALIST
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Name | CINDY WALTEMIRE
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Credential |
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Telephone | 412-330-5523
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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 | 2518348457
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License Number State | PA
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