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General NPI Number Information
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NPI Number | 1295545341
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Entity Type | Individual
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Provider Name | BETHANY BLOCK
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Gender | Female
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 2551 WASHINGTON RD STE 811
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City | PITTSBURGH
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State | PA
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Zip | 15241-2513
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Country | US
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Telephone | 412-238-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 811 RED BARN CT
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City | BETHEL PARK
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State | PA
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Zip | 15102-3257
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Country | US
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Telephone | 412-736-4539
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN618997
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP019589
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License Number State | PA
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