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General NPI Number Information
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NPI Number | 1205073202
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Entity Type | Organization
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Legal Business Name | PIERCE SOFFRONOFF, MD., PC
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 03/12/2009
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Provider Practice Location Address
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Address Line | 414-416 ALLEGHENY RIVER BLVD SUITE 204
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City | OAKMONT
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State | PA
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Zip | 15139-1735
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Country | US
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Telephone | 412-828-6870
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Fax | 412-828-6871
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Provider Business Mailing Address
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Address Line | 414-416 ALLEGHENY RIVER BLVD SUITE 204
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City | OAKMONT
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State | PA
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Zip | 15139-1735
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Country | US
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Telephone | 412-828-6870
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Fax | 412-828-6871
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Authorized Official
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Title or Position | PRESIDENT
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Name | PIERCE SOFFRONOFF
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Credential | MD
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Telephone | 412-828-6870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD 016655 E
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License Number State | PA
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