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General NPI Number Information
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NPI Number | 1225588460
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Entity Type | Individual
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Provider Name | KATHARINE DARIA CUSHMA PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/12/2016
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 1145 BOWER HILL RD STE 105
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City | PITTSBURGH
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State | PA
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Zip | 15243-1346
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Country | US
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Telephone | 412-866-7246
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Fax | 412-866-7240
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Provider Business Mailing Address
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Address Line | 1145 BOWER HILL RD STE 105
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City | PITTSBURGH
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State | PA
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Zip | 15243-1346
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Country | US
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Telephone | 412-866-7246
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Fax | 412-866-7240
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA058593
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License Number State | PA
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