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General NPI Number Information
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NPI Number | 1245485358
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Entity Type | Organization
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Legal Business Name | WPIC HILL SATELLITE CENTER
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 11/18/2008
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Provider Practice Location Address
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Address Line | 1835 CENTRE AVE SUITE 235
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City | PITTSBURGH
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State | PA
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Zip | 15219-4305
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Country | US
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Telephone | 412-261-2298
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Fax | 412-471-7837
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Provider Business Mailing Address
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Address Line | 1835 CENTRE AVE SUITE 235
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City | PITTSBURGH
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State | PA
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Zip | 15219-4305
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Country | US
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Telephone | 412-261-2298
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Fax | 412-471-7837
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Authorized Official
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Title or Position | PSYCHIATRIC SPECIALITY COUNSELOR II
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Name | MR. MARCUS ANDRETTI FLOURNOY
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Credential | MSW, LSW
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Telephone | 412-261-2298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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