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General NPI Number Information
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NPI Number | 1225744477
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Entity Type | Individual
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Provider Name | NICOLE MARIE SETTIMIO LSW
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Gender | Female
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 313 W HIGH ST STE 211
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City | EBENSBURG
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State | PA
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Zip | 15931-1549
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Country | US
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Telephone | 814-419-8083
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Fax | 814-266-2880
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Provider Business Mailing Address
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Address Line | 214 COLLEGE PARK PLZ
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City | JOHNSTOWN
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State | PA
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Zip | 15904-2833
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Country | US
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Telephone | 814-262-0028
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Fax | 814-266-2880
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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 | SW139703
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW139703
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License Number State | PA
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