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General NPI Number Information
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NPI Number | 1760517502
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Entity Type | Organization
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Legal Business Name | PITTSBURGH GYNECOLOGIC ONCOLOGY, INC.
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 4815 LIBERTY AVE SUITE 127
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City | PITTSBURGH
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State | PA
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Zip | 15224-2156
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Country | US
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Telephone | 412-687-9944
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Fax | 412-687-9946
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Provider Business Mailing Address
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Address Line | 4815 LIBERTY AVE SUITE 127
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City | PITTSBURGH
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State | PA
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Zip | 15224-2156
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Country | US
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Telephone | 412-687-9944
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Fax | 412-687-9946
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FREDRIC V. PRICE
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Credential | M.D.
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Telephone | 412-687-9944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD039997E
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License Number State | PA
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