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General NPI Number Information
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NPI Number | 1114123668
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Entity Type | Organization
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Legal Business Name | TRANSFORMEDIA LLC
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 4284 WILLIAM FLYNN HWY STE 206
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City | ALLISON PARK
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State | PA
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Zip | 15101-1440
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Country | US
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Telephone | 412-445-5352
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Fax |
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Provider Business Mailing Address
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Address Line | 1158 WINDMILL LN # A
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City | PITTSBURGH
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State | PA
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Zip | 15237-6249
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Country | US
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Telephone | 412-445-5352
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. NANCY MRAMOR
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Credential | PHD
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Telephone | 412-445-5352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PS004833L
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License Number State | PA
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