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General NPI Number Information
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NPI Number | 1972536985
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR DISEASE SPECIALISTS OF PITTSBURGH, PC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 03/06/2014
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Provider Practice Location Address
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Address Line | 5750 CENTRE AVENUE SUITE 510
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City | PITTSBURGH
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State | PA
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Zip | 15206
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Country | US
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Telephone | 412-924-1100
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Fax | 412-924-1111
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Provider Business Mailing Address
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Address Line | 5750 CENTRE AVENUE SUITE 510
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City | PITTSBURGH
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State | PA
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Zip | 15206
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Country | US
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Telephone | 412-924-1100
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Fax | 412-924-1111
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JACK ERNEST SMITH
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Credential | MD
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Telephone | 412-469-7788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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