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General NPI Number Information
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NPI Number | 1285249748
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Entity Type | Organization
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Legal Business Name | CANONSBURG GENERAL HOSPITAL
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Dates
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Enumeration Date | 09/11/2020
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 100 MEDICAL BLVD FL 1
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City | CANONSBURG
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State | PA
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Zip | 15317-9762
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Country | US
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Telephone | 724-745-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MEDICAL BLVD FL 1
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City | CANONSBURG
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State | PA
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Zip | 15317-9762
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Country | US
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Telephone | 724-745-6100
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Fax |
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Authorized Official
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Title or Position | DIRECTOR REIMBURSEMENT
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Name | ANDREW TISCH
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Credential |
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Telephone | 412-330-6062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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