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General NPI Number Information
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NPI Number | 1518943521
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Entity Type | Organization
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Legal Business Name | PLUM PEDIATRICS PC
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 781 PINE VALLEY DR
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City | PITTSBURGH
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State | PA
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Zip | 15239-2842
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Country | US
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Telephone | 724-327-7586
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Fax | 724-327-9562
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Provider Business Mailing Address
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Address Line | 781 PINE VALLEY DR
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City | PITTSBURGH
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State | PA
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Zip | 15239-2842
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Country | US
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Telephone | 724-327-7586
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Fax | 724-327-9562
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMIE CALABRESE
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Credential | MD
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Telephone | 724-327-7586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD051024L
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License Number State | PA
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