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General NPI Number Information
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NPI Number | 1245820489
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Entity Type | Individual
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Provider Name | MIKAELA NICOLE MONDSCHEIN PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/21/2021
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 5115 CENTRE AVE FL 3
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City | PITTSBURGH
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State | PA
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Zip | 15232-1301
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Country | US
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Telephone | 412-647-2811
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Fax |
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Provider Business Mailing Address
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Address Line | 105 VILLAGE DR
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066-3345
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Country | US
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Telephone | 610-390-2655
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Fax |
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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 | MA062308
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0010-12143
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License Number State | NC
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