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NPI 1629901269

NPI 1629901269 : UPMC TWIN CITY : DOVER, OH

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General NPI Number Information
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    NPI Number           |    1629901269
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    Entity Type          |    Organization 
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    Legal Business Name  |    UPMC TWIN CITY 
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Dates
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    Enumeration Date     |    06/04/2026
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    Last Update Date     |    06/04/2026
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Provider Practice Location Address
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    Address Line         |    340 OXFORD ST STE 200, 220
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    City                 |    DOVER
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    State                |    OH
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    Zip                  |    44622-1965
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    Country              |    US
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    Telephone            |    330-440-0715
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    600 GRANT STREET, US STEEL TOWER, 59TH FLOOR C/O RENEE JOHNSON
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15219-2740
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    Country              |    US
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    Telephone            |    412-623-6303
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    Fax                  |    
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Authorized Official
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    Title or Position    |    INCORPORATOR
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    Name                 |     MICHELLE  JEGASOTHY 
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    Credential           |    
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    Telephone            |    412-647-5472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207QA0000X
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    Taxonomy Name        |    Adolescent Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207QA0505X
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    Taxonomy Name        |    Adult Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    163WP0200X
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    Taxonomy Name        |    Pediatric Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    2080A0000X
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    Taxonomy Name        |    Pediatric Adolescent Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    207QG0300X
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    Taxonomy Name        |    Geriatric Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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    License Number       |    
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    License Number State |    
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