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General NPI Number Information
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NPI Number | 1861629214
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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 | 06/12/2009
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 4727 FRIENDSHIP AVE SUITE 200
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City | PITTSBURGH
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State | PA
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Zip | 15224-1779
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Country | US
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Telephone | 412-235-5810
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Fax | 412-235-5890
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Provider Business Mailing Address
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Address Line | 4 ALLEGHENY CTR FL 7
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City | PITTSBURGH
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State | PA
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Zip | 15212-5255
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Country | US
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Telephone | 412-330-5861
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Fax | 412-330-5844
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Authorized Official
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Title or Position | PROVIDER CREDENTIALING SPECIALIST
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Name | LYNN CHILTON
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Credential |
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Telephone | 412-330-5852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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