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General NPI Number Information
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NPI Number | 1366061210
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Entity Type | Individual
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Provider Name | ANDREW JORDAN MAUL MD, MBA
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Gender | Male
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Dates
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Enumeration Date | 04/10/2020
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 300 HALKET ST STE 1731
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City | PITTSBURGH
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State | PA
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Zip | 15213-3108
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Country | US
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Telephone | 412-756-6014
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 FORBES AVE STE 140
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City | PITTSBURGH
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State | PA
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Zip | 15213-3410
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Country | US
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Telephone | 412-647-6340
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Fax | 412-647-5809
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD487681
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License Number State | PA
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