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General NPI Number Information
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NPI Number | 1467962878
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Entity Type | Individual
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Provider Name | NICOLE HELENE D'ALESSANDRO PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 5200 CENTRE AVE
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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 | 412-623-3634
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Fax | 412-623-3357
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Provider Business Mailing Address
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Address Line | 3007 CLINTON AVE UNIT 219
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City | CLEVELAND
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State | OH
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Zip | 44113-3172
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Country | US
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Telephone | 814-730-5652
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Fax |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 50.005289RX
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License Number State | OH
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