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General NPI Number Information
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NPI Number | 1083068084
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE YANAK MA, LPC, RPT, NCC
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Gender | Female
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Dates
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Enumeration Date | 04/16/2016
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Last Update Date | 04/16/2016
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Provider Practice Location Address
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Address Line | 520 WASHINGTON RD SUITE 203
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City | PITTSBURGH
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State | PA
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Zip | 15228-2819
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Country | US
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Telephone | 412-668-2038
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Fax |
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Provider Business Mailing Address
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Address Line | 542 CARRIAGE CIR
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City | PITTSBURGH
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State | PA
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Zip | 15205-1600
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Country | US
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Telephone | 412-389-0841
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC008474
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701006239
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License Number State | VA
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