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General NPI Number Information
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NPI Number | 1124464441
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Entity Type | Individual
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Provider Name | NICKOLAS SUMMA LMFT
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Gender | Male
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Dates
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Enumeration Date | 05/14/2013
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 907 WEST ST STE 516
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City | PITTSBURGH
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State | PA
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Zip | 15221-2838
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Country | US
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Telephone | 412-238-7274
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Fax | 412-345-5827
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Provider Business Mailing Address
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Address Line | 150 ROBBINS STATION RD STE 8
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City | IRWIN
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State | PA
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Zip | 15642-2037
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Country | US
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Telephone | 412-238-7274
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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 | PC017052
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MF000917
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License Number State | PA
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