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General NPI Number Information
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NPI Number | 1073354742
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Entity Type | Individual
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Provider Name | MADISON JANE PLASKET DNP, CRNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 3600 FORBES AVE
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City | PITTSBURGH
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State | PA
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Zip | 15213-3410
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Country | US
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Telephone | 412-383-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 6613 CHURCH AVE
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City | BEN AVON
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State | PA
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Zip | 15202-2036
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Country | US
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Telephone |
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN721556
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP030581
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License Number State | PA
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