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General NPI Number Information
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NPI Number | 1568612620
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Entity Type | Individual
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Provider Name | CHARLES JAMES FERONTI D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 320 E NORTH AVE EMERGENCY MEDICINE RESIDENCY PROGRAM
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City | PITTSBURGH
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State | PA
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Zip | 15212-4756
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Country | US
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Telephone | 412-459-4905
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Fax |
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Provider Business Mailing Address
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Address Line | 157 RIVERVIEW AVE. APT. 5
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City | PITTSBURGH
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State | PA
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Zip | 15214-2283
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Country | US
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Telephone | 814-566-9387
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OT012597
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS016786
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License Number State | PA
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