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General NPI Number Information
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NPI Number | 1912383118
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES FREE HEALTH CARE CENTER
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Dates
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Enumeration Date | 08/11/2015
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Last Update Date | 10/13/2015
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Provider Practice Location Address
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Address Line | 212 9TH ST
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City | PITTSBURGH
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State | PA
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Zip | 15222-3517
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Country | US
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Telephone | 412-456-6949
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Fax | 412-456-0128
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Provider Business Mailing Address
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Address Line | 212 9TH ST
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City | PITTSBURGH
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State | PA
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Zip | 15222-3517
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Country | US
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Telephone | 412-456-6949
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Fax | 412-456-0128
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Authorized Official
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Title or Position | ELIGIBILITY SPECIALIST
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Name | SHARONDA DIXON
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Credential |
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Telephone | 412-456-6949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | PA
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