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General NPI Number Information
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NPI Number | 1427114321
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Entity Type | Organization
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Legal Business Name | OBSTETRICS AND GYNECOLOGY SOUTH, LLC
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 11/12/2007
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Provider Practice Location Address
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Address Line | 1000 BOWER HILL RD STE 311
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City | PITTSBURGH
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State | PA
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Zip | 15243-1873
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Country | US
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Telephone | 412-942-3590
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Fax | 412-942-3598
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Provider Business Mailing Address
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Address Line | 1000 BOWER HILL RD STE 311
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City | PITTSBURGH
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State | PA
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Zip | 15243-1873
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Country | US
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Telephone | 412-942-3590
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Fax | 412-942-3598
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL LATTANZI
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Credential | MD
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Telephone | 412-942-3590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD005340E
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License Number State | PA
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