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General NPI Number Information
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NPI Number | 1730127135
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Entity Type | Organization
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Legal Business Name | ACCENT ON BODY COSMETIC SURGERY PC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 11/18/2008
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Provider Practice Location Address
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Address Line | 1000 CLIFFMINE RD PARK WEST ONE SUITE 120
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City | PITTSBURGH
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State | PA
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Zip | 15275-1022
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Country | US
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Telephone | 412-466-0391
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 200300
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City | PITTSBURGH
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State | PA
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Zip | 15251-0300
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Country | US
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Telephone | 412-466-0391
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES FERNAU
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Credential | MD
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Telephone | 412-262-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | MD040888E
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License Number State | PA
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