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General NPI Number Information
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NPI Number | 1306138169
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Entity Type | Organization
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Legal Business Name | UPMC/ST CLAIR HOSPITAL CANCER CENTER
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 1020 BOWER HILL RD
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City | PITTSBURGH
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State | PA
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Zip | 15243-1843
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Country | US
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Telephone | 412-502-3920
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Fax | 412-502-3933
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Provider Business Mailing Address
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Address Line | 2 HOT METAL ST FL 3
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City | PITTSBURGH
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State | PA
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Zip | 15203-2348
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Country | US
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Telephone | 412-432-7469
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Fax | 412-647-4486
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CHARLES E BOGOSTA
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Credential |
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Telephone | 412-692-2451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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