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General NPI Number Information
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NPI Number | 1891565446
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Entity Type | Organization
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Legal Business Name | SQUIRREL HILL HEALTH CENTER
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 100 S JACKSON AVE FL 3
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City | PITTSBURGH
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State | PA
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Zip | 15202-3428
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Country | US
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Telephone | 412-422-7442
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Fax | 412-904-5025
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Provider Business Mailing Address
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Address Line | PO BOX 6327
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City | HERMITAGE
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State | PA
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Zip | 16148-0924
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Country | US
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Telephone | 412-422-7442
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Fax | 412-904-5025
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | AMY COHN
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Credential |
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Telephone | 412-680-3250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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