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General NPI Number Information
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NPI Number | 1619692225
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Entity Type | Individual
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Provider Name | COURTENEY AVON RN
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Gender | Female
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 4401 PENN AVE
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City | PITTSBURGH
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State | PA
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Zip | 15224-1334
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Country | US
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Telephone | 412-692-5325
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Fax |
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Provider Business Mailing Address
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Address Line | 7212 WITHERSPOON ST
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City | PITTSBURGH
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State | PA
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Zip | 15206-1046
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Country | US
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Telephone | 614-216-9902
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN730755
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License Number State | PA
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