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General NPI Number Information
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NPI Number | 1851416606
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Entity Type | Individual
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Provider Name | WILLIAM THOMAS DECARBO DPM
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 800 PLAZA DR SUITE 240
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City | BELLE VERNON
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State | PA
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Zip | 15012-4019
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Country | US
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Telephone | 724-379-5816
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Fax | 724-379-5874
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Provider Business Mailing Address
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Address Line | 1000 BOWER HILL ROAD ATTN PAMALYN AFFILIATE BILLING
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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 |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC006180
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36003450
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License Number State | OH
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