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General NPI Number Information
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NPI Number | 1902095110
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Entity Type | Individual
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Provider Name | ALICIA MCGRAIN
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Gender | Female
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 100 WOODLAWN AVE SUITE 300
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City | UNIONTOWN
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State | PA
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Zip | 15401-3105
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Country | US
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Telephone | 724-439-8950
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Fax |
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Provider Business Mailing Address
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Address Line | 2 HOT METAL ST QUANTUM 1, N429
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City | PITTSBURGH
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State | PA
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Zip | 15203-2348
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP009540
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License Number State | PA
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