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General NPI Number Information
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NPI Number | 1982658308
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Entity Type | Organization
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Legal Business Name | SQUIRREL HILL HEALTH CENTER
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 4516 BROWNS HILL RD
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City | PITTSBURGH
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State | PA
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Zip | 15217-2917
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Country | US
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Telephone | 412-422-7442
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Fax | 412-904-5025
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Provider Business Mailing Address
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Address Line | 4516 BROWNS HILL RD
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City | PITTSBURGH
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State | PA
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Zip | 15217-2917
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Country | US
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Telephone | 412-422-7442
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Fax | 412-904-5025
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Authorized Official
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Title or Position | CEO
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Name | SUSAN FREIDBERG KALSON
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Credential |
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Telephone | 412-422-7442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | N/A
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License Number State |
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