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General NPI Number Information
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NPI Number | 1205818630
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Entity Type | Individual
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Provider Name | TRACY L POPEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 401 E MURPHY AVE
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City | CONNELLSVILLE
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State | PA
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Zip | 15425-2724
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Country | US
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Telephone | 724-626-2485
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Fax | 724-626-2486
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Provider Business Mailing Address
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Address Line | 401 E MURPHY AVE
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City | CONNELLSVILLE
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State | PA
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Zip | 15425-2724
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Country | US
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Telephone | 724-626-2485
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Fax | 724-626-2486
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD059795L
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License Number State | PA
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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 | 35-06-5686-P
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | MD059795L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 35065686
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License Number State | OH
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