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General NPI Number Information
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NPI Number | 1851890578
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Entity Type | Organization
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Legal Business Name | POW ENTERPRISES, LLC
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Dates
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Enumeration Date | 02/08/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 100 FLEET ST STE 103
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City | PITTSBURGH
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State | PA
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Zip | 15220-2928
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Country | US
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Telephone | 412-455-6636
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Fax |
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Provider Business Mailing Address
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Address Line | 100 FLEET ST STE 103
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City | PITTSBURGH
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State | PA
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Zip | 15220-2928
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Country | US
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Telephone | 412-455-6636
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Fax |
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | MRS. SUSAN DEE PRICE
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Credential |
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Telephone | 412-455-6636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 6473607
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License Number State | PA
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