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General NPI Number Information
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NPI Number | 1912218538
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Entity Type | Individual
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Provider Name | NATTACHAI SRISAWAT M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 07/01/2010
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Provider Practice Location Address
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Address Line | DEPARTMENT OF CRITICAL CARE MEDICINE UNIVERSITY OF PITTSBURGH MEDICAL CENTER
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City | PITTSBURGH
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State | PA
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Zip | 15261-0001
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Country | US
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Telephone | 412-647-7980
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 CENTRE AVE 909
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City | PITTSBURGH
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State | PA
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Zip | 15206-3743
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Country | US
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Telephone | 412-983-2916
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MT198235
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License Number State | PA
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