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General NPI Number Information
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NPI Number | 1104224252
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Entity Type | Individual
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Provider Name | JAMES POWELL M.A., N.C.C.
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Gender | Male
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Dates
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Enumeration Date | 12/05/2014
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 5648 FRIENDSHIP AVE
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City | PITTSBURGH
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State | PA
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Zip | 15206-3610
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Country | US
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Telephone | 412-661-1827
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Fax | 412-661-1867
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Provider Business Mailing Address
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Address Line | 114 LOCUST RIDGE DR
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City | PITTSBURGH
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State | PA
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Zip | 15209-2040
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Country | US
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Telephone | 607-329-4332
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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 |
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License Number State |
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