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General NPI Number Information
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NPI Number | 1770550352
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Entity Type | Organization
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Legal Business Name | LATROBE SURGICAL GROUP LLC
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 08/02/2007
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Provider Practice Location Address
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Address Line | 443 FRYE FARM ROAD SUITE 100
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City | GREENSBURG
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State | PA
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Zip | 15601
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Country | US
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Telephone | 724-537-7100
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Fax | 724-537-9847
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Provider Business Mailing Address
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Address Line | 443 FRYE FARM ROAD SUITE 100
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City | GREENSBURG
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State | PA
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Zip | 15601
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Country | US
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Telephone | 724-537-7100
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Fax | 724-537-9847
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CATHERINE J PENROD
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Credential |
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Telephone | 724-537-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | PA
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