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General NPI Number Information
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NPI Number | 1033411046
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Entity Type | Organization
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Legal Business Name | ALLEGHENY PSYCHOLOGICAL SERVICES PC
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 211 N WHITFIELD ST SUITE 200
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City | PITTSBURGH
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State | PA
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Zip | 15206-3039
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Country | US
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Telephone | 412-361-7158
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Fax | 412-361-7156
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Provider Business Mailing Address
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Address Line | 211 N WHITFIELD ST SUITE 200
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City | PITTSBURGH
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State | PA
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Zip | 15206-3039
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Country | US
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Telephone | 412-361-7158
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Fax | 412-361-7156
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICIA PEPE
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Credential | PH.D.
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Telephone | 412-361-7158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 41-01638678
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License Number State | PA
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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 | 41-01638678
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License Number State | PA
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