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General NPI Number Information
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NPI Number | 1346332665
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Entity Type | Organization
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Legal Business Name | FIORINA FAM PRACTICE LLC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 12/15/2010
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Provider Practice Location Address
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Address Line | 109 TECHNOLOGY DRIVE SUITE A
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City | BUTLER
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State | PA
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Zip | 16001-1785
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Country | US
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Telephone | 724-431-0300
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Fax | 724-431-0301
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Provider Business Mailing Address
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Address Line | PO BOX 1549 SUITE 401
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City | BUTLER
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State | PA
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Zip | 16003-1549
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Country | US
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Telephone | 724-284-4084
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL E FIORINA
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Credential | DO
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Telephone | 724-431-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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