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General NPI Number Information
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NPI Number | 1255644480
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Entity Type | Individual
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Provider Name | ALESSANDRO PANICCIA
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Gender | Male
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 3550 TERRACE STREET 3RD FLOOR PRESBY
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City | PITTSBURGH
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State | PA
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Zip | 15261-2527
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Country | US
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Telephone | 412-235-1307
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Fax |
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Provider Business Mailing Address
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Address Line | 3550 TERRACE STREET 425 SCAIFE HALL 3RD FLOOR PRESBY
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City | PITTSBURGH
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State | PA
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Zip | 15261-0001
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Country | US
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Telephone |
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | MD460102
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License Number State | PA
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