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General NPI Number Information
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NPI Number | 1124217401
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Entity Type | Organization
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Legal Business Name | BENEDUM GERIATRIC CENTER
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 130 N BELLEFIELD AVE FIFTH FLOOR, ROOM 532
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City | PITTSBURGH
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State | PA
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Zip | 15213-2695
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Country | US
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Telephone | 412-383-1931
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Fax | 412-383-1308
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Provider Business Mailing Address
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Address Line | 200 LOTHROP ST
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City | PITTSBURGH
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State | PA
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Zip | 15213-2536
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Country | US
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Telephone | 412-692-4622
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Fax | 412-692-4225
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANNE B. NEWMAN
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Credential | MD
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Telephone | 412-692-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD030672E
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License Number State | PA
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