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General NPI Number Information
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NPI Number | 1215550942
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Entity Type | Individual
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Provider Name | DAVID G WIDEMAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/28/2020
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 4800 FRIENDSHIP AVE
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City | PITTSBURGH
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State | PA
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Zip | 15224-1722
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Country | US
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Telephone | 412-578-5323
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Fax | 412-578-4981
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Provider Business Mailing Address
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Address Line | 4800 FRIENDSHIP AVE
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City | PITTSBURGH
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State | PA
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Zip | 15224-1722
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Country | US
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Telephone | 412-578-5323
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Fax | 412-578-4981
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD491421
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License Number State | PA
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