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General NPI Number Information
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NPI Number | 1891301776
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Entity Type | Individual
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Provider Name | KAREN RICHTAR PA
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Gender | Female
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 4815 LIBERTY AVE 1ST FLOOR MELLON PAVILLION SUITE 160
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City | PITTSBURGH
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State | PA
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Zip | 15224
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Country | US
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Telephone | 412-525-2706
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Fax | 814-534-5123
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Provider Business Mailing Address
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Address Line | 4815 LIBERTY AVE 1ST FLOOR MELLON PAVILLION SUITE 160
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City | PITTSBURGH
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State | PA
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Zip | 15224
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA061543
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License Number State | PA
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