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General NPI Number Information
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NPI Number | 1124625611
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Entity Type | Organization
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Legal Business Name | GSM THERAPEUTIC AND CONSULTING LLC
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 322 N SHORE DR BLDG 1B
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City | PITTSBURGH
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State | PA
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Zip | 15212-5875
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Country | US
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Telephone | 412-595-6883
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Fax |
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Provider Business Mailing Address
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Address Line | 322 N SHORE DR BLDG 1B
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City | PITTSBURGH
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State | PA
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Zip | 15212-5875
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Country | US
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Telephone | 412-595-6883
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | GENAFIE MCKNIGHT
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Credential |
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Telephone | 412-595-6883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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