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General NPI Number Information
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NPI Number | 1700013976
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Entity Type | Organization
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Legal Business Name | HERITAGE VALLEY MULTISPECIALTY GROUP, INC.
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 2580 CONSTITUTION BLVD
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City | BEAVER FALLS
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State | PA
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Zip | 15010-1294
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Country | US
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Telephone | 724-770-7999
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Fax | 724-843-1514
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Provider Business Mailing Address
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Address Line | 2 PEARTREE WAY
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City | BEAVER
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State | PA
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Zip | 15009-1954
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Country | US
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Telephone | 724-773-6802
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | NORMAN F. MITRY
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Credential |
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Telephone | 724-773-4776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 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 #4
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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 #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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