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General NPI Number Information
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NPI Number | 1023227014
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Entity Type | Organization
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Legal Business Name | PAUL J. TRIPOLI PC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 157 S MAIN ST
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City | WASHINGTON
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State | PA
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Zip | 15301-4948
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Country | US
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Telephone | 724-747-9408
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Fax | 724-229-8888
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Provider Business Mailing Address
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Address Line | 6 APPLE VALLEY RD SUITE 101
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City | WASHINGTON
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State | PA
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Zip | 15301-1216
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Country | US
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Telephone | 724-747-9408
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL JOSEPH TRIPOLI
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Credential | LCSW, LPC, BCD
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Telephone | 724-747-9408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | BCD29462
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC001707
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW012484
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License Number State | PA
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