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General NPI Number Information
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NPI Number | 1932374790
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Entity Type | Organization
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Legal Business Name | UPMC
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 4075 MONROEVILLE BLVD. CORPORATE ONE OFFICE PARK BLDG #2 SUITE 106
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City | MONROEVILLE
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State | PA
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Zip | 15146
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Country | US
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Telephone | 412-856-8770
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Fax | 412-856-8790
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Provider Business Mailing Address
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Address Line | 4075 MONROEVILLE BLVD CORPORATE ONE OFFICE PARK BLDG #2 SUITE 106
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City | MONROEVILLE
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State | PA
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Zip | 15146
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Country | US
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Telephone | 412-856-8770
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Fax | 412-856-8790
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Authorized Official
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Title or Position | NURSE
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Name | MS. LINDA M WIRTH
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Credential | RN
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Telephone | 412-856-8770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | RN 189170L
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License Number State | PA
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