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General NPI Number Information
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NPI Number | 1194925107
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Entity Type | Organization
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Legal Business Name | PITTSBURGH NORTH CARDIOLOGY ASSOC
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 660 LINCOLN AVE SUITE 101
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City | BELLEVUE
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State | PA
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Zip | 15202-3426
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Country | US
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Telephone | 412-761-4700
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Fax | 412-766-8152
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Provider Business Mailing Address
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Address Line | 660 LINCOLN AVE SUITE 101
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City | BELLEVUE
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State | PA
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Zip | 15202-3426
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Country | US
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Telephone | 412-761-4700
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Fax | 412-766-8152
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Authorized Official
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Title or Position | MANAGER
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Name | RUBY MARCOCELLI
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Credential |
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Telephone | 412-788-4995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State | PA
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