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General NPI Number Information
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NPI Number | 1144412594
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Entity Type | Organization
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Legal Business Name | BANKSVILLE MEDICAL, PC
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 2508 BANKSVILLE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15216-2802
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Country | US
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Telephone | 412-341-6650
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Fax |
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Provider Business Mailing Address
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Address Line | 2508 BANKSVILLE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15216-2802
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Country | US
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Telephone | 412-341-6650
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHARLES F DIEDERICH I
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Credential | M.D.
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Telephone | 412-341-6650
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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 |
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License Number State |
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