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General NPI Number Information
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NPI Number | 1649849175
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Entity Type | Individual
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Provider Name | AALIYAH RICCARDI
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Gender | Female
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Dates
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Enumeration Date | 06/19/2021
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Last Update Date | 06/19/2021
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Provider Practice Location Address
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Address Line | 203 LOTHROP ST
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City | PITTSBURGH
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State | PA
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Zip | 15213-2548
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Country | US
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Telephone | 914-479-9186
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Fax |
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Provider Business Mailing Address
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Address Line | 5250 LIBERTY AVE APT 402
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City | PITTSBURGH
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State | PA
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Zip | 15224-2378
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Country | US
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Telephone | 914-479-9186
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MT223834
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License Number State | PA
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