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General NPI Number Information
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NPI Number | 1063240612
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Entity Type | Individual
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Provider Name | SIMONE MARGARET VIVIO LSW
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Gender | Female
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 40 SPRINGER RD
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City | LIGONIER
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State | PA
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Zip | 15658-8744
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Country | US
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Telephone | 724-238-9531
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Fax |
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Provider Business Mailing Address
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Address Line | 211 S CHESTNUT ST
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City | SCOTTDALE
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State | PA
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Zip | 15683-1909
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Country | US
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Telephone | 724-970-4502
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW141911
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License Number State | PA
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