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General NPI Number Information
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NPI Number | 1295873016
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Entity Type | Organization
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Legal Business Name | PITTSBURGH EYE ASSOCIATES, PC
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 05/19/2017
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Provider Practice Location Address
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Address Line | 4424 PENN AVE SUITE 101
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City | PITTSBURGH
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State | PA
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Zip | 15224-1338
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Country | US
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Telephone | 412-683-0500
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Fax | 412-683-1943
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Provider Business Mailing Address
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Address Line | 4424 PENN AVE SUITE 101
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City | PITTSBURGH
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State | PA
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Zip | 15224-1338
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Country | US
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Telephone | 412-683-0500
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Fax | 412-683-1943
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. ROXANA F. BARAD
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Credential | M.D.
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Telephone | 412-683-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG001667
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 03847P
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD026939E
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License Number State | PA
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