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General NPI Number Information
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NPI Number | 1841252582
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Entity Type | Organization
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Legal Business Name | AMY R STINE ESTATE
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 12/17/2008
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Provider Practice Location Address
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Address Line | 8150 PERRY HWY SUITE 332
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City | PITTSBURGH
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State | PA
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Zip | 15237-5232
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Country | US
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Telephone | 412-630-8250
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Fax | 412-630-8251
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Provider Business Mailing Address
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Address Line | 8150 PERRY HWY SUITE 332
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City | PITTSBURGH
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State | PA
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Zip | 15237-5232
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Country | US
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Telephone | 412-630-8250
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Fax | 412-630-8251
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Authorized Official
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Title or Position | ADMINISTRATOR OF ESTATE
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Name | WILLIAM R. BROSE
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Credential |
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Telephone | 412-367-3849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD036523E
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License Number State | PA
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