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General NPI Number Information
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NPI Number | 1497721146
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Entity Type | Individual
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Provider Name | JAMES W BACKSTROM MD
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Gender | Male
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 401 LIBERTY AVE STE 2000 THREE GATEWAY CENTER, 20TH FLOOR
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City | PITTSBURGH
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State | PA
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Zip | 15222-1029
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Country | US
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Telephone | 412-223-2272
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Fax | 412-281-6320
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Provider Business Mailing Address
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Address Line | 401 LIBERTY AVE STE 2000
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City | PITTSBURGH
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State | PA
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Zip | 15222-1029
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Country | US
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Telephone | 412-230-8200
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Fax | 412-202-8638
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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 | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 0101040755
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101040755
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD418526
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License Number State | PA
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