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General NPI Number Information
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NPI Number | 1184820763
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Entity Type | Individual
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Provider Name | ANTONELLA POLITO MD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3708 5TH AVE SUITE 503 MEDICAL ARTS BUILDING
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City | PITTSBURGH
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State | PA
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Zip | 15213-3427
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Country | US
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Telephone | 412-958-7885
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 5TH AVE B3
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City | PITTSBURGH
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State | PA
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Zip | 15232-2748
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MT190131
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License Number State | PA
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