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General NPI Number Information
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NPI Number | 1285911495
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Entity Type | Organization
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Legal Business Name | ITXM DIAGNOSITICS
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 3636 BOULEVARD OF THE ALLIES
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City | PITTSBURGH
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State | PA
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Zip | 15213-4306
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Country | US
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Telephone | 412-209-7320
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Fax |
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Provider Business Mailing Address
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Address Line | 5 PARKWAY CTR 875 GREENTREE ROAD
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City | PITTSBURGH
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State | PA
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Zip | 15220-3608
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Country | US
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Telephone | 412-209-7316
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Fax |
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Authorized Official
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Title or Position | V.P. & CHIEF SCIENCE OFFICER
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Name | DR. ANDREA L CORTESE HASSETT
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Credential | PH.D.
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Telephone | 412-209-7345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD438567
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License Number State | PA
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