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General NPI Number Information
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NPI Number | 1255367744
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Entity Type | Organization
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Legal Business Name | PLASTIC SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4815 LIBERTY AVE SUITE 235
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City | PITTSBURGH
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State | PA
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Zip | 15224-2156
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Country | US
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Telephone | 412-681-5995
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Fax | 412-681-5772
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Provider Business Mailing Address
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Address Line | PO BOX 1961
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City | PITTSBURGH
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State | PA
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Zip | 15230-1961
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Country | US
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Telephone | 412-826-1065
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Fax | 412-826-1491
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Authorized Official
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Title or Position | PHYSICIAN
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Name | E DOUGLAS NEWTON
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Credential | MD
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Telephone | 412-681-5995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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