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General NPI Number Information
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NPI Number | 1508078213
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Entity Type | Individual
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Provider Name | EDWARD ANTHONY VERDREAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 4778 LIBERTY AVE 3RD FLOOR
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City | PITTSBURGH
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State | PA
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Zip | 15224-2040
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Country | US
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Telephone | 412-681-0966
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Fax | 412-681-7914
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Provider Business Mailing Address
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Address Line | 1207 SANDSTONE CT E
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City | TARENTUM
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State | PA
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Zip | 15084-2653
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Country | US
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Telephone | 412-681-0966
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Fax | 412-681-7914
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD431476
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License Number State | PA
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