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General NPI Number Information
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NPI Number | 1558533679
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH MEDICAL CENTER, INC
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 2500 HOSPITAL DR
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City | ALIQUIPPA
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State | PA
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Zip | 15001-2123
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Country | US
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Telephone | 724-857-1212
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Fax | 724-857-1298
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Provider Business Mailing Address
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Address Line | 2500 HOSPITAL DR
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City | ALIQUIPPA
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State | PA
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Zip | 15001-2123
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Country | US
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Telephone | 724-857-1212
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Fax | 724-857-1298
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Authorized Official
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Title or Position | CAO
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Name | MR. WILLIE L FELTS JR.
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Credential |
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Telephone | 724-857-1711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 012601
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 012601
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 012601
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License Number State | PA
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