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General NPI Number Information
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NPI Number | 1992677769
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Entity Type | Individual
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Provider Name | JUSTIN M BIRKHIMER PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 120 IRMC DR STE 110
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City | INDIANA
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State | PA
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Zip | 15701-3674
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Country | US
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Telephone | 724-357-8135
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Fax |
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Provider Business Mailing Address
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Address Line | 817 LOUELLA DR
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City | WINDBER
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State | PA
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Zip | 15963-5213
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Country | US
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Telephone | 814-288-9875
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | MA067104
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License Number State | PA
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