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General NPI Number Information
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NPI Number | 1033261540
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Entity Type | Individual
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Provider Name | MARCY L PEARSALL PH.D., LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 311 5TH ST
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City | ELLWOOD CITY
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State | PA
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Zip | 16117-1903
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Country | US
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Telephone | 724-752-0116
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Fax | 724-752-1113
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Provider Business Mailing Address
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Address Line | 1315 WOODSIDE AVE
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City | ELLWOOD CITY
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State | PA
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Zip | 16117-1502
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Country | US
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Telephone | 724-651-6596
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW013153
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License Number State | PA
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