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General NPI Number Information
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NPI Number | 1346610805
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Entity Type | Organization
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Legal Business Name | SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC.
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Dates
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Enumeration Date | 09/28/2015
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Last Update Date | 09/28/2015
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Provider Practice Location Address
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Address Line | 145 WEST 24TH STREET 302A
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City | ERIE
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State | PA
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Zip | 16544-0002
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Country | US
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Telephone | 814-878-0290
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Fax |
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Provider Business Mailing Address
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Address Line | 145 WEST 24TH STREET 302A
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City | ERIE
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State | PA
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Zip | 16502
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Country | US
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Telephone | 814-878-0290
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | THOMAS MURPHY
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Credential |
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Telephone | 814-452-5310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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