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General NPI Number Information
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NPI Number | 1124285523
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Entity Type | Organization
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Legal Business Name | YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER PITTSBURGH
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 420 FORT DUQUESNE BLVD. SUITE 625
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City | PITTSBURGH
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State | PA
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Zip | 15222
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Country | US
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Telephone | 412-227-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 420 FORT DUQUESNE BLVD. SUITE 625
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City | PITTSBURGH
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State | PA
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Zip | 15222
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Country | US
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Telephone | 412-227-3800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | KEVIN BOLDING
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Credential |
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Telephone | 412-227-6429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | PA
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