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General NPI Number Information
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NPI Number | 1548551922
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Entity Type | Individual
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Provider Name | SARAH SCOTT BRETT DIETZ MD
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Gender | Female
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | VAPHS - UNIVERSITY DRIVE CAMPUS 4100 ALEQUIPPA ST, MAIL STOP 131-A
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City | PITTSBURGH
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State | PA
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Zip | 15240
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Country | US
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Telephone | 724-223-3548
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Fax | 412-822-3050
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Provider Business Mailing Address
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Address Line | VAPHS - UNIVERSITY DRIVE CAMPUS 4100 ALEQUIPPA ST, MAIL STOP 131-A
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City | PITTSBURGH
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State | PA
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Zip | 15240
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Country | US
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Telephone |
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Fax | 412-822-3050
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD465587
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License Number State | PA
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