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General NPI Number Information
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NPI Number | 1184492282
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Entity Type | Individual
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Provider Name | LISA ANN BUETTNER LPC
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Gender | Female
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 3884 PERRYSVILLE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15214-1832
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Country | US
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Telephone | 412-330-0106
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Fax |
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Provider Business Mailing Address
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Address Line | 201 WALLACE AVE
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City | EAST PITTSBURGH
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State | PA
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Zip | 15112-1615
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Country | US
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Telephone | 412-432-8351
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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 | PC016509
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License Number State | PA
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