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General NPI Number Information
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NPI Number | 1588631931
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Entity Type | Individual
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Provider Name | ANTHONY DALESSIO MD
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Gender | Male
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 400 PENN CENTER BLVD SUITE 602
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City | PITTSBURGH
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State | PA
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Zip | 15235-5613
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Country | US
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Telephone | 412-823-3782
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Fax | 412-823-5041
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Provider Business Mailing Address
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Address Line | 1901 BUTTERFIELD RD SUITE 220
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-7915
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Country | US
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Telephone | 630-725-2768
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Fax | 630-725-2783
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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 | MD056882L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | MD056882L
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License Number State | PA
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