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General NPI Number Information
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NPI Number | 1669950416
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Entity Type | Individual
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Provider Name | BRYAN ANDREW STEVENS MD
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Gender | Male
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Dates
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Enumeration Date | 08/03/2018
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Last Update Date | 08/03/2018
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Provider Practice Location Address
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Address Line | 3550 TERRACE STREET A711 SCAIFE HALL - PATHOLOGY EDUCATION OFFICE
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City | PITTSBURGH
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State | PA
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Zip | 15262-0001
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Country | US
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Telephone | 412-802-6013
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 FORBES AVENUE FORBES TOWER - PLAZA LEVEL SUITE 140
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City | PITTSBURGH
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State | PA
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Zip | 15213-3410
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Country | US
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Telephone |
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MT208999
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License Number State | PA
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