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General NPI Number Information
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NPI Number | 1750381471
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Entity Type | Organization
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Legal Business Name | ALLEGHENY CLINIC
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 320 E NORTH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15212-4756
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Country | US
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Telephone | 412-359-6444
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Fax | 412-359-6699
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Provider Business Mailing Address
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Address Line | 320 E NORTH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15212-4756
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Country | US
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Telephone | 412-359-3457
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Fax | 412-359-6699
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Authorized Official
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Title or Position | DIRECTOR PROVIDER ENROLLMENT
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Name | DENISE NOEL
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Credential |
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Telephone | 412-330-5861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State | PA
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