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General NPI Number Information
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NPI Number | 1700055514
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Entity Type | Organization
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Legal Business Name | WEST PENN PHYSICIAN PRACTICE NETWORK
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 07/27/2009
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Provider Practice Location Address
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Address Line | 147 TOWNE SQUARE WAY BRENTWOOD TOWNE SQUARE
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City | PITTSBURGH
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State | PA
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Zip | 15227-3254
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Country | US
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Telephone | 412-942-1085
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Fax | 412-865-3035
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Provider Business Mailing Address
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Address Line | 147 TOWNE SQUARE WAY BRENTWOOD TOWNE SQUARE
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City | PITTSBURGH
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State | PA
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Zip | 15227-3254
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Country | US
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Telephone | 412-942-1085
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Fax | 412-865-3035
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Authorized Official
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Title or Position | MANAGED CARE SPECIALIST
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Name | MICHELE G LEY
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Credential |
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Telephone | 412-330-5207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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