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General NPI Number Information
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NPI Number | 1295647626
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Entity Type | Organization
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Legal Business Name | ALLEGHENY CLINIC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 2600 OLD WASHINGTON RD STE 101
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City | UPPER ST CLAIR
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State | PA
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Zip | 15241-2524
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Country | US
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Telephone | 724-941-5588
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 OLD WASHINGTON RD STE 101
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City | UPPER ST CLAIR
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State | PA
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Zip | 15241-2524
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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 | DIRECTOR PROVIDER ENROLLMENT
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Name | DENISE NOEL
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Credential |
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Telephone | 724-396-9664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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