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General NPI Number Information
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NPI Number | 1487627998
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Entity Type | Individual
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Provider Name | STEVEN GERARD DOCIMO M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 10/23/2013
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Provider Practice Location Address
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Address Line | 4401 PENN AVE 4TH FL FACULTY PAVILION
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City | PITTSBURGH
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State | PA
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Zip | 15224-1334
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Country | US
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Telephone | 412-692-7467
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Fax |
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Provider Business Mailing Address
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Address Line | 4401 PENN AVE SUITE 6400 AAB
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City | PITTSBURGH
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State | PA
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Zip | 15224-1334
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Country | US
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Telephone | 412-692-7288
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Fax | 412-692-5800
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD071827L
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License Number State | PA
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