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General NPI Number Information
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NPI Number | 1528064912
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Entity Type | Individual
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Provider Name | JOHN P NAIRN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 03/19/2010
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Provider Practice Location Address
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Address Line | 9970 MOUNTAIN VIEW DRIVE SUITE 200
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City | WEST MIFFLIN
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State | PA
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Zip | 15122-2474
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Country | US
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Telephone | 412-653-3080
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Fax | 412-650-8860
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Provider Business Mailing Address
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Address Line | 9970 MOUNTAIN VIEW DRIVE SUITE 200
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City | WEST MIFFLIN
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State | PA
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Zip | 15122-2474
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Country | US
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Telephone | 412-653-3080
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Fax | 412-650-8860
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD042632L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 23247
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License Number State | WV
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