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General NPI Number Information
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NPI Number | 1205230828
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Entity Type | Individual
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Provider Name | GARRETT DUNLAP M.ED, BSL, LPC, BCBA
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Gender | Male
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 6315 FORBES AVE SUITE B14
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City | PITTSBURGH
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State | PA
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Zip | 15217-1745
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Country | US
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Telephone | 724-396-9561
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Fax |
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Provider Business Mailing Address
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Address Line | 3944 LAUREL OAK CIR
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City | MURRYSVILLE
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State | PA
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Zip | 15668-9711
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Country | US
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Telephone | 724-396-9561
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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 | PC007806
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BH000550
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License Number State | PA
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