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General NPI Number Information
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NPI Number | 1558648535
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Entity Type | Individual
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Provider Name | NATHAN R STURM NP-C
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Gender | Male
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 4490 MOUNT ROYAL BLVD STE 1002
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City | ALLISON PARK
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State | PA
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Zip | 15101-2684
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Country | US
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Telephone | 412-487-8891
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Fax |
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Provider Business Mailing Address
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Address Line | 291 STATE ROUTE 288
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City | ELLWOOD CITY
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State | PA
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Zip | 16117-5513
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Country | US
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Telephone | 247-752-8722
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Fax | 247-752-5508
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP011744
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License Number State | PA
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