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General NPI Number Information
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NPI Number | 1780810010
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Entity Type | Organization
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Legal Business Name | JEFFREY NIGRO
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Dates
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Enumeration Date | 06/01/2009
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Last Update Date | 09/01/2015
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Provider Practice Location Address
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Address Line | 1601 UNION AVE
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City | NATRONA HEIGHTS
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State | PA
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Zip | 15065-2133
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Country | US
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Telephone | 724-226-0544
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Fax | 724-226-2172
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Provider Business Mailing Address
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Address Line | 127 COLUMBIA AVE
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City | VANDERGRIFT
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State | PA
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Zip | 15690-1101
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Country | US
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Telephone | 724-567-7520
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Fax | 724-568-2169
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFF SCOTT NIGRO
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Credential | D.P.M.
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Telephone | 724-226-0544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | SC003276L
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License Number State | PA
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