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General NPI Number Information
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NPI Number | 1053527382
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Entity Type | Organization
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Legal Business Name | WJS ALLEGHENY PSYCHOLOGICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 633 LONG RUN RD.
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City | MCKEESPORT
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State | PA
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Zip | 15132-7449
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Country | US
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Telephone | 412-751-5280
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Fax | 412-751-5530
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Provider Business Mailing Address
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Address Line | 99 S. PENNSYLVANIA AVE
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City | UNIONTOWN
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State | PA
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Zip | 15401-4236
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Country | US
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Telephone | 724-430-0555
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Fax | 724-430-0966
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WALTER J. SIGUT
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Credential |
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Telephone | 724-430-0555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0016247990002
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License Number State | PA
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