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General NPI Number Information
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NPI Number | 1356773808
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Entity Type | Organization
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Legal Business Name | PITTSBURGH CARDIOTHORACIC ASSOCIATES PC
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 532 S AIKEN AVE SUITE 210
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City | PITTSBURGH
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State | PA
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Zip | 15232-1521
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Country | US
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Telephone | 412-444-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 532 S AIKEN AVE SUITE 210
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City | PITTSBURGH
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State | PA
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Zip | 15232-1521
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Country | US
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Telephone | 412-444-5300
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAWRENCE X. SULLIVAN
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Credential | MD
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Telephone | 412-444-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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