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General NPI Number Information
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NPI Number | 1285059618
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Entity Type | Organization
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Legal Business Name | WHITEHALL MEDICAL HEALTH CENTER
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Dates
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Enumeration Date | 02/21/2014
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 4500 CLAIRTON BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15236-2161
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Country | US
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Telephone | 412-885-2929
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Fax | 412-279-3416
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Provider Business Mailing Address
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Address Line | 4500 CLAIRTON BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15236-2161
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Country | US
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Telephone | 412-885-2929
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Fax | 412-279-3416
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | DEBRA LEONARD
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Credential |
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Telephone | 412-885-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | MD420553
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License Number State | PA
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