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General NPI Number Information
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NPI Number | 1326252479
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR PLASTIC & COSMETIC SURGERY. LLC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 530 SOUTH ST SUITE G-10
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City | GREENSBURG
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State | PA
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Zip | 15601-2775
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Country | US
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Telephone | 724-836-0400
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Fax | 724-836-6422
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Provider Business Mailing Address
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Address Line | 530 SOUTH ST SUITE G-10
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City | GREENSBURG
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State | PA
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Zip | 15601-2775
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Country | US
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Telephone | 724-836-0400
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Fax | 724-836-6422
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. MICHAEL SCOTT KLUSKA
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Credential | D.O.
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Telephone | 724-836-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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