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General NPI Number Information
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NPI Number | 1982398384
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Entity Type | Individual
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Provider Name | GODWIN DEVADHAS PACKIARAJ M.D
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Gender | Male
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | UPMC MONTEFIORE, THOMAS E STARZI TRANSPLANTATION INSTIT 3459 FIFTH AVENUE, 7 SOUTH
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City | PITTSBURGH
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State | PA
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Zip | 15213
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Country | US
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Telephone | 412-647-5800
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Fax | 412-647-5070
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Provider Business Mailing Address
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Address Line | 3459 FIFTH AVENUE, 7 SOUTH UPMC MONTEFIORE
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City | PITTSBURGH
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State | PA
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Zip | 15213
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Country | US
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Telephone | 412-639-7194
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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 | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | LT000956
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License Number State | PA
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