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General NPI Number Information
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NPI Number | 1134206717
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Entity Type | Individual
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Provider Name | CHRISTY L. EMMONS PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 3705 5TH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15213-2584
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Country | US
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Telephone | 412-692-5246
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Fax |
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Provider Business Mailing Address
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Address Line | 215 BIRCH AVE
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City | MOUNT LEBANON
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State | PA
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Zip | 15228-2319
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Country | US
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Telephone | 412-531-0764
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PS016120
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS016120
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License Number State | PA
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