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General NPI Number Information
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NPI Number | 1861522526
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Entity Type | Organization
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Legal Business Name | SURGICAL SPECIALISTS OF THE ALLEGHENIES
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 304 SENECA TRL
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City | RONCEVERTE
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State | WV
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Zip | 24970-1320
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Country | US
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Telephone | 304-647-4968
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Fax | 304-647-4987
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Provider Business Mailing Address
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Address Line | PO BOX 266
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City | RONCEVERTE
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State | WV
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Zip | 24970-0266
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Country | US
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Telephone | 304-647-4968
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Fax | 304-647-4987
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAY L JONES
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Credential | D.O.
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Telephone | 304-647-4968
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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 |
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License Number State |
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