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General NPI Number Information
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NPI Number | 1205079720
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Entity Type | Individual
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Provider Name | JESSIKA ANNE STRAUSS
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Gender | Female
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 5230 CENTRE AVE WEST WING
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City | PITTSBURGH
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State | PA
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Zip | 15232-1304
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Country | US
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Telephone | 412-623-6789
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Fax |
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Provider Business Mailing Address
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Address Line | 4410 LAUREL OAK DR
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City | ALLISON PARK
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State | PA
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Zip | 15101-2124
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT019819
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License Number State | PA
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