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General NPI Number Information
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NPI Number | 1528068608
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Entity Type | Individual
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Provider Name | EUGENE A BONAROTI MD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 03/26/2020
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Provider Practice Location Address
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Address Line | 1 AESTHETIC WAY
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City | GREENSBURG
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State | PA
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Zip | 15601
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Country | US
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Telephone | 412-275-0227
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Fax | 412-291-2111
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Provider Business Mailing Address
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Address Line | 1 AESTHETIC WAY
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City | GREENSBURG
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State | PA
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Zip | 15601-9500
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Country | US
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Telephone | 412-275-0227
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Fax | 412-291-2111
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | MD051225L
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License Number State | PA
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