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General NPI Number Information
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NPI Number | 1740459437
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Entity Type | Organization
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Legal Business Name | MEDTECH SUPPORT SERVICES, INC.
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 3450 BABCOCK BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15237-2410
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Country | US
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Telephone | 412-366-7301
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Fax | 412-630-8253
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Provider Business Mailing Address
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Address Line | 3450 BABCOCK BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15237-2410
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Country | US
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Telephone | 412-366-7301
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Fax | 412-630-8253
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Authorized Official
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Title or Position | DIR OF OPERATIONS
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Name | MR. JEFFREY W PANNIER
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Credential |
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Telephone | 412-366-7301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | OS009586L
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License Number State | PA
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