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General NPI Number Information
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NPI Number | 1164812525
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Entity Type | Individual
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Provider Name | MARY SILVESTROS LSW
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Gender | Female
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Dates
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Enumeration Date | 01/23/2015
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 135 TECHNOLOGY DR STE 312
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City | CANONSBURG
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State | PA
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Zip | 15317-9549
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Country | US
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Telephone | 724-209-4970
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Fax | 724-307-4135
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Provider Business Mailing Address
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Address Line | 2400 ANSYS DR STE 102
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City | CANONSBURG
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State | PA
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Zip | 15317-0403
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Country | US
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Telephone | 724-209-4970
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Fax | 724-307-4135
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW018717
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License Number State | PA
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