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General NPI Number Information
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NPI Number | 1225329980
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Entity Type | Organization
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Legal Business Name | ST. CLAIR MEDICAL SERVICES INC.
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 2000 OXFORD DR STE 420
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City | BETHEL PARK
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State | PA
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Zip | 15102-1841
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Country | US
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Telephone | 412-942-8500
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Fax | 412-942-8519
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Provider Business Mailing Address
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Address Line | 1000 BOWER HILL RD ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
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City | PITTSBURGH
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State | PA
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Zip | 15243-1873
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Country | US
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Telephone | 412-942-2548
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | PAMALYN PATNESKY
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Credential |
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Telephone | 412-942-2548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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