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General NPI Number Information
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NPI Number | 1326008566
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Entity Type | Individual
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Provider Name | JASON LEE SPERRY MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 200 LOTHROP ST. SUITE F 1268 UPMC, PRESBYTERIAN,
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City | PITTSBURGH
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State | PA
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Zip | 15213-2536
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Country | US
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Telephone | 412-692-2850
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Fax | 412-648-6872
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Provider Business Mailing Address
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Address Line | 200 LOTHROP ST. SUITE F 1268 UPMC, PRESBYTERIAN,
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City | PITTSBURGH
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State | PA
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Zip | 15213-2536
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Country | US
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Telephone | 412-692-2850
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Fax | 412-648-6872
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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 | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | MD431225
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License Number State | PA
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