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General NPI Number Information
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NPI Number | 1326777335
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Entity Type | Organization
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Legal Business Name | ASTUTE DIAGNOSTICS LLC
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 1077 N CHURCH ST
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City | HAZLE TOWNSHIP
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State | PA
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Zip | 18202-1465
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Country | US
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Telephone | 570-501-1808
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Fax | 855-635-6308
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Provider Business Mailing Address
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Address Line | 1077 N CHURCH ST
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City | HAZLE TOWNSHIP
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State | PA
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Zip | 18202-1465
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Country | US
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Telephone | 570-501-1808
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Fax | 855-635-6308
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Authorized Official
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Title or Position | MEMBER
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Name | KATHERINE OH
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Credential |
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Telephone | 570-501-1808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number |
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License Number State |
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