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General NPI Number Information
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NPI Number | 1497924385
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Entity Type | Organization
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Legal Business Name | LATROBE INTERNAL MEDICINE, INC.
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 1100 LIGONIER ST SUITE 100
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City | LATROBE
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State | PA
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Zip | 15650-1917
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Country | US
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Telephone | 724-539-3555
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Fax | 724-539-1966
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Provider Business Mailing Address
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Address Line | 1100 LIGONIER ST SUITE 100
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City | LATROBE
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State | PA
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Zip | 15650-1917
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Country | US
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Telephone | 724-539-3555
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Fax | 724-539-1966
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Authorized Official
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Title or Position | PRACTICE/BUSINESS MANAGER
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Name | MS. KATHY DOBROSKY
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Credential |
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Telephone | 724-539-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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