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General NPI Number Information
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NPI Number | 1992486849
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Entity Type | Individual
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Provider Name | CAMERON STEWART DOMBLISKY PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 2570 HAYMAKER RD
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City | MONROEVILLE
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State | PA
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Zip | 15146-3513
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Country | US
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Telephone | 412-858-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 230 1ST ST APT 3
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City | ASPINWALL
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State | PA
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Zip | 15215-3049
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Country | US
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Telephone | 814-380-4737
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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