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General NPI Number Information
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NPI Number | 1003690447
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Entity Type | Individual
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Provider Name | TED ALLAIRE BARRIOS PHD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2023
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 1515 LOCUST ST STE 200
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City | PITTSBURGH
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State | PA
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Zip | 15219-5131
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Country | US
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Telephone | 412-232-4301
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 LOCUST ST STE 200
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City | PITTSBURGH
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State | PA
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Zip | 15219-5131
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Country | US
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Telephone | 412-232-4301
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301019335
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS010173
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PS010173
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 6301019335
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License Number State | MI
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