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General NPI Number Information
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NPI Number | 1265830640
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Entity Type | Individual
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Provider Name | THOMAS G. CONLEY LPC
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Gender | Male
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Dates
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Enumeration Date | 12/16/2014
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 612 WOODBOURNE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15226-2046
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Country | US
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Telephone | 412-861-7025
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Fax |
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Provider Business Mailing Address
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Address Line | 4105 MONROEVILLE BLVD
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City | MONROEVILLE
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State | PA
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Zip | 15146-2607
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Country | US
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Telephone | 412-380-0100
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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 | PC007080
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License Number State | PA
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