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General NPI Number Information
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NPI Number | 1538320270
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Entity Type | Organization
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Legal Business Name | ST CLAIR MEDICAL SERVICES
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 2000 OXFORD DR STE 100
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City | BETHEL PARK
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State | PA
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Zip | 15102-1898
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Country | US
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Telephone | 412-942-7115
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 BOWER HILL RD
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City | PITTSBURGH
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State | PA
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Zip | 15243-1873
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Country | US
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Telephone | 412-924-2548
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Fax | 412-942-2589
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Authorized Official
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Title or Position | SVP/ CFO
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Name | ERIC LUTTRINGER
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Credential |
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Telephone | 412-942-1202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number |
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License Number State |
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