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General NPI Number Information
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NPI Number | 1245900430
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Entity Type | Individual
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Provider Name | AMANDA MARIE SYPIEN LPC
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Gender | Female
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Dates
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Enumeration Date | 09/17/2021
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 60 TERENCE DR STE 302
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City | PITTSBURGH
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State | PA
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Zip | 15236-4148
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Country | US
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Telephone | 412-945-0692
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Fax | 412-774-2627
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Provider Business Mailing Address
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Address Line | 3320 WILLETT RD
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City | PITTSBURGH
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State | PA
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Zip | 15227-3045
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Country | US
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Telephone | 412-979-2158
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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 | PC013676
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License Number State | PA
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