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General NPI Number Information
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NPI Number | 1134745003
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Entity Type | Individual
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Provider Name | DANEYA LYNN LSW
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Gender | Female
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 300 FLEET ST STE 250
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City | PITTSBURGH
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State | PA
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Zip | 15220-2930
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Country | US
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Telephone | 412-922-4858
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8004
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City | PITTSBURGH
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State | PA
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Zip | 15216-0804
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW137061
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License Number State | PA
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