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General NPI Number Information
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NPI Number | 1780813220
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Entity Type | Individual
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Provider Name | COURTNEY BURGESS
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Gender | Female
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Dates
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Enumeration Date | 07/06/2009
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 2 HOT METAL ST RM 297A QUANTUM ONE BUILDING
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City | PITTSBURGH
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State | PA
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Zip | 15203-2348
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Country | US
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Telephone | 412-864-0174
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Fax |
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Provider Business Mailing Address
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Address Line | 10525 TIMBER EDGE DR UPMC EAST HOSPITAL
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City | WEXFORD
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State | PA
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Zip | 15090-7390
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD451621
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License Number State | PA
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