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General NPI Number Information
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NPI Number | 1174875892
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Entity Type | Organization
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Legal Business Name | PHYSICIAN LANDING ZONE, P.C.
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Dates
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Enumeration Date | 10/04/2012
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Last Update Date | 10/04/2012
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Provider Practice Location Address
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Address Line | 4815 LIBERTY AVE SUITE 156-158
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City | PITTSBURGH
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State | PA
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Zip | 15224-2156
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Country | US
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Telephone | 412-359-8991
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Fax |
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Provider Business Mailing Address
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Address Line | 120 5TH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15222-3000
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Country | US
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Telephone | 412-544-0818
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM GOLDFARB
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Credential | M.D.
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Telephone | 412-578-7080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | MD019095E
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License Number State | PA
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