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General NPI Number Information
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NPI Number | 1124194501
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Entity Type | Organization
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Legal Business Name | TADISO INCORPORATED
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 1425 BEAVER AVE
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City | PITTSBURGH
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State | PA
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Zip | 15233-2313
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Country | US
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Telephone | 412-322-8415
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Fax | 412-316-1019
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Provider Business Mailing Address
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Address Line | 1425 BEAVER AVENUE
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City | PITTSBURGH
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State | PA
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Zip | 15233-2313
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Country | US
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Telephone | 412-322-8415
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Fax |
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Authorized Official
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Title or Position | CAO
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Name | MS. KRISTINA A DELPRINCIPE
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Credential | MBA
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Telephone | 412-322-8415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 75-25975-5
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License Number State | PA
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