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General NPI Number Information
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NPI Number | 1154823730
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Entity Type | Individual
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Provider Name | MICHAELA J DIALLO LPC, NCC, M.ED
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Gender | Female
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 02/28/2018
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Provider Practice Location Address
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Address Line | 285 JOHNSON BLVD
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City | NEW KENSINGTON
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State | PA
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Zip | 15068-1729
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Country | US
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Telephone | 724-335-2015
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Fax |
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Provider Business Mailing Address
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Address Line | 824 HILL AVE
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City | PITTSBURGH
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State | PA
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Zip | 15221-1914
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Country | US
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Telephone | 412-491-6334
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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 | 81148118
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License Number State | PA
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