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General NPI Number Information
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NPI Number | 1083214704
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Entity Type | Individual
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Provider Name | MIKAEL STEFAN FERM LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 415 LOCUST ST
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City | PITTSBURGH
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State | PA
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Zip | 15218-1419
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Country | US
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Telephone | 412-887-6746
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Fax |
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Provider Business Mailing Address
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Address Line | 415 LOCUST ST
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City | PITTSBURGH
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State | PA
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Zip | 15218-1419
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 64362
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License Number State | TX
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