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General NPI Number Information
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NPI Number | 1144723966
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Entity Type | Individual
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Provider Name | NATHANIEL THOMAS ONDECK MD, MHS
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Gender | Male
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Dates
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Enumeration Date | 03/18/2018
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 2000 OXFORD DR STE 211
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City | BETHEL PARK
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State | PA
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Zip | 15102-1898
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Country | US
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Telephone | 412-283-0260
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Fax | 412-283-0070
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Provider Business Mailing Address
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Address Line | 3914 HICKORY HILL RD
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City | MURRYSVILLE
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State | PA
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Zip | 15668-9513
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD485826
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License Number State | PA
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