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General NPI Number Information
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NPI Number | 1083164669
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Entity Type | Organization
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Legal Business Name | NEW DIMENSIONS COUNSELING
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Dates
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Enumeration Date | 10/07/2016
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 1301 BEAVER AVE SUITE 9
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City | PITTSBURGH
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State | PA
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Zip | 15233-2342
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Country | US
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Telephone | 412-478-6736
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 BEAVER AVE SUITE 9
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City | PITTSBURGH
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State | PA
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Zip | 15233-2342
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Country | US
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Telephone | 412-478-6736
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GREG ROSCOE
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Credential |
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Telephone | 412-478-6736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD458868
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License Number State | PA
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