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General NPI Number Information
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NPI Number | 1538079975
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Entity Type | Individual
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Provider Name | ALEXANDER N YATSENKO MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 204 CRAFT AVE RM A206
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City | PITTSBURGH
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State | PA
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Zip | 15213-3005
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Country | US
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Telephone | 412-641-6290
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Fax | 412-641-8519
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Provider Business Mailing Address
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Address Line | 116 OVERLOOK DR
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City | PITTSBURGH
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State | PA
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Zip | 15237-2440
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Country | US
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Telephone | 713-715-8058
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Fax | 412-641-8519
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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 | 207SM0001X
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Taxonomy Name | Molecular Genetic Pathology (Medical Genetics) Physician
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License Number | 2006194
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License Number State | PA
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