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General NPI Number Information
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NPI Number | 1013354596
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Entity Type | Organization
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Legal Business Name | ROBERT FERAGOTTI, LPC, LLC
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Dates
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Enumeration Date | 05/24/2013
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 162 BRICKYARD RD
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City | MARS
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State | PA
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Zip | 16046-3067
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Country | US
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Telephone | 724-544-3350
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Fax | 724-625-4257
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Provider Business Mailing Address
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Address Line | 131 QUAIL DR
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City | PITTSBURGH
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State | PA
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Zip | 15235-4459
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Country | US
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Telephone | 724-544-3350
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | MR. ROBERT D FERAGOTTI
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Credential | LPC
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Telephone | 724-544-3350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | PC005877
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License Number State | PA
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