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General NPI Number Information
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NPI Number | 1538495494
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Entity Type | Organization
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Legal Business Name | HEART OF PITTSBURGH, PC
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 5200 CENTRE AVE SUITE 710
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City | PITTSBURGH
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State | PA
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Zip | 15232-1300
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Country | US
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Telephone | 412-621-5000
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Fax | 412-621-1804
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Provider Business Mailing Address
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Address Line | 500 S AIKEN AVE SUITE 500
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City | PITTSBURGH
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State | PA
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Zip | 15232-1505
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Country | US
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Telephone | 412-621-3131
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Fax | 412-621-3116
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JEROME M ITZKOFF
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Credential | M.D.
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Telephone | 412-621-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD-020427-E
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License Number State | PA
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