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General NPI Number Information
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NPI Number | 1811305162
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Entity Type | Organization
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Legal Business Name | DIVEKAR AND ASSOCIATES - GYNECOLOGY AESTHETICS AND WELLNESS CENTER PC
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 9102 BABCOCK BLVD STE 107
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City | PITTSBURGH
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State | PA
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Zip | 15237-5819
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Country | US
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Telephone | 412-499-3540
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Fax | 412-499-3210
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Provider Business Mailing Address
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Address Line | 1882 PIONEER DR
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City | SEWICKLEY
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State | PA
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Zip | 15143-8585
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Country | US
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Telephone | 412-499-3540
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Fax | 412-499-3540
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. PREETI RAJESH DIVEKAR
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Credential | MD
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Telephone | 412-499-3540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD435032
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License Number State | PA
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