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General NPI Number Information
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NPI Number | 1215024823
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Entity Type | Individual
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Provider Name | NANCY SMITH PHD
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Gender | Female
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 01/04/2019
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Provider Practice Location Address
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Address Line | 316 STATION ST STE 100
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-1833
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Country | US
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Telephone | 724-942-3996
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Fax | 724-942-5471
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Provider Business Mailing Address
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Address Line | 1086 GREGG STATION RD
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City | OAKDALE
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State | PA
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Zip | 15071-3008
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | PC002971
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License Number State | PA
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