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General NPI Number Information
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NPI Number | 1376835413
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Entity Type | Organization
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Legal Business Name | UPMC COMMUNITY MEDICINE INC
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Dates
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Enumeration Date | 05/09/2011
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 2001 LINCOLN WAY STE 290
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City | WHITE OAK
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State | PA
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Zip | 15131
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Country | US
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Telephone | 412-267-5969
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Fax | 412-267-5970
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Provider Business Mailing Address
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Address Line | 2001 LINCOLN WAY STE 290
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City | WHITE OAK
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State | PA
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Zip | 15131-2419
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Country | US
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Telephone | 412-267-5969
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Fax | 412-267-5970
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. PATTY DEVLIN
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Credential |
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Telephone | 412-432-7469
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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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