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General NPI Number Information
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NPI Number | 1376542134
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Entity Type | Organization
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Legal Business Name | ALLEGHENY NORTH ARTHRITIS CENTER PC
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 150 LAKE DR STE 109
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City | WEXFORD
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State | PA
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Zip | 15090-8405
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Country | US
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Telephone | 724-935-0400
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Fax | 724-935-5558
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Provider Business Mailing Address
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Address Line | 150 LAKE DR STE 109
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City | WEXFORD
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State | PA
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Zip | 15090-8405
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Country | US
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Telephone | 724-935-0400
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Fax | 724-935-5558
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGELA MARY STUPI
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Credential | M.D.
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Telephone | 724-935-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State | PA
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