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General NPI Number Information
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NPI Number | 1508939836
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Entity Type | Organization
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Legal Business Name | HEMOPHILIA CENTER OF WESTERN PA
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 3636 BOULEVARD OF THE ALLIES
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City | PITTSBURGH
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State | PA
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Zip | 15213
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Country | US
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Telephone | 412-209-7280
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Fax | 412-209-7281
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Provider Business Mailing Address
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Address Line | 201 N CRAIG ST STE 500
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City | PITTSBURGH
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State | PA
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Zip | 15213-1516
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Country | US
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Telephone | 412-209-7280
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Fax | 412-209-7281
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Authorized Official
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Title or Position | DIRECTOR
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Name | JEFFREY D WAHAL
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Credential |
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Telephone | 412-209-7360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 58
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License Number State | PA
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