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General NPI Number Information
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NPI Number | 1093382442
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Entity Type | Individual
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Provider Name | SEAN VONBLOCH LSW
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Gender | Male
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | UNIVERSITY DRIVE C
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City | PITTSBURGH
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State | PA
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Zip | 15240
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Country | US
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Telephone | 412-688-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 509 SUISMON ST APT B
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City | PITTSBURGH
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State | PA
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Zip | 15212-4924
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Country | US
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Telephone | 412-874-6093
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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 | SW133797
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License Number State | PA
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