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General NPI Number Information
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NPI Number | 1851797039
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Entity Type | Organization
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Legal Business Name | ALLEGHENY CLINIC
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Dates
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Enumeration Date | 11/14/2014
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 120 5TH AVE STE 300
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City | PITTSBURGH
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State | PA
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Zip | 15222-3025
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Country | US
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Telephone | 412-442-2350
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Fax |
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Provider Business Mailing Address
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Address Line | 120 5TH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15222-3000
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Country | US
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Telephone | 412-594-3637
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Fax |
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Authorized Official
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Title or Position | DIRECTOR-RETAIL PHARMACY OPERATIONS
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Name | RONALD PAUL HIGGINBOTHAM
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Credential |
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Telephone | 412-359-3613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP481975
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License Number State | PA
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