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General NPI Number Information
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NPI Number | 1811507445
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Entity Type | Organization
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Legal Business Name | ST. CLAIR MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 1000 BOWER HILL RD STE 7400
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City | PITTSBURGH
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State | PA
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Zip | 15243-1873
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Country | US
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Telephone | 412-429-8840
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 BOWER HILL RD ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
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City | PITTSBURGH
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State | PA
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Zip | 15243-1873
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Country | US
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Telephone | 412-942-2548
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | PAMALYN PATNESKY
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Credential |
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Telephone | 412-942-2548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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