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General NPI Number Information
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NPI Number | 1780909580
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Entity Type | Organization
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Legal Business Name | CHARLES A. DEFRANCESCO, MD
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 04/05/2010
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Provider Practice Location Address
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Address Line | 100 BRUSH RUN RD
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City | GREENSBURG
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State | PA
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Zip | 15601-8753
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Country | US
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Telephone | 724-691-0354
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Fax | 724-691-0362
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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 | 412-831-3744
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Fax | 412-831-5663
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHARLES A DEFRANCESCO
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Credential | MD
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Telephone | 724-850-8744
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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 | MD029492
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License Number State | PA
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