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General NPI Number Information
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NPI Number | 1396976247
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Entity Type | Individual
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Provider Name | MICHAEL J OMALLEY MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 5200 CENTRE AVE SUITE 415
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City | PITTSBURGH
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State | PA
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Zip | 15232-1300
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Country | US
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Telephone | 412-802-4139
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Fax | 412-802-4120
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Provider Business Mailing Address
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Address Line | 5200 CENTRE AVE SUITE 415
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City | PITTSBURGH
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State | PA
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Zip | 15232-1300
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Country | US
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Telephone | 412-802-4139
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Fax | 412-802-4120
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25MA09753900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MT194698
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD450815
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License Number State | PA
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