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General NPI Number Information
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NPI Number | 1306890652
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Entity Type | Individual
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Provider Name | NICHOLAS J HALLER CRNP
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 02/16/2009
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Provider Practice Location Address
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Address Line | VA PITTSBURGH HEALTHCARE SYSTEM UNIVERSITY DRIVE C
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City | PITTSBURGH
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State | PA
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Zip | 15240
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Country | US
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Telephone | 412-688-6000
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Fax | 412-784-3724
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Provider Business Mailing Address
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Address Line | 8409 EDWOOD RD
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City | PITTSBURGH
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State | PA
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Zip | 15237-5622
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Country | US
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Telephone | 412-358-0227
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Fax | 412-784-3724
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP-005356-B
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License Number State | PA
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