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General NPI Number Information
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NPI Number | 1760632418
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Entity Type | Organization
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Legal Business Name | SOUTH PITTSBURGH ANESTHESIA ASSOCIATES, PC
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 565 COAL VALLEY ROAD
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City | PITTSBURGH
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State | PA
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Zip | 15236-3703
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Country | US
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Telephone | 412-469-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1699 WASHINGTON RD SUITE 307
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City | PITTSBURGH
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State | PA
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Zip | 15228-1629
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Country | US
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Telephone | 412-831-9218
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Fax | 412-831-5663
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Authorized Official
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Title or Position | SOLE INCORPORATOR
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Name | MR. ROBERT GREGG
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Credential | MD
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Telephone | 412-831-9218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD030611E
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License Number State | PA
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