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General NPI Number Information
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NPI Number | 1144202177
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Entity Type | Organization
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Legal Business Name | PLASTIC SURGERY OF PITTSBURGH, LTD.
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 320 E NORTH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15212-4756
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Country | US
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Telephone | 412-359-4352
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Fax | 412-359-8285
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Provider Business Mailing Address
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Address Line | 320 E NORTH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15212-4756
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Country | US
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Telephone | 412-359-4352
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Fax | 412-359-8285
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL J WHITE
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Credential | MD
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Telephone | 412-359-4352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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