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NPI 1558456830

NPI 1558456830 : LUIGI R FORCELLA MD : ALIQUIPPA, PA

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General NPI Number Information
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    NPI Number           |    1558456830
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    Entity Type          |    Individual 
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    Provider Name        |    LUIGI R FORCELLA MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/04/2006
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    Last Update Date     |    03/04/2010
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Provider Practice Location Address
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    Address Line         |    2500 HOSPITAL DRIVE 
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    City                 |    ALIQUIPPA
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    State                |    PA
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    Zip                  |    15001
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    Country              |    US
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    Telephone            |    724-561-6961
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    Fax                  |    724-774-9057
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Provider Business Mailing Address
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    Address Line         |    350 BONAR AVENUE 
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    City                 |    WAYNESBURG
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    State                |    PA
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    Zip                  |    15370
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    Country              |    US
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    Telephone            |    724-627-2673
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    Fax                  |    724-627-2667
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MD423202
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    License Number State |    PA
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