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General NPI Number Information
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NPI Number | 1508925470
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Entity Type | Organization
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Legal Business Name | JOSEPH DI MATTEO INC
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 215 ALLEGHENY AVE
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City | OAKMONT
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State | PA
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Zip | 15139-2058
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Country | US
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Telephone | 412-826-9500
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Fax | 412-826-1884
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Provider Business Mailing Address
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Address Line | 215 ALLEGHENY AVE
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City | OAKMONT
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State | PA
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Zip | 15139-2058
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Country | US
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Telephone | 412-826-9500
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Fax | 412-826-1884
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH DIMATTEO
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Credential | RPH
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Telephone | 412-826-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP413730L
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License Number State | PA
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