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General NPI Number Information
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NPI Number | 1285874461
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Entity Type | Individual
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Provider Name | KATHLEEN HALL LONGO M.S.P.T.
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Gender | Female
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Dates
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Enumeration Date | 02/27/2009
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Last Update Date | 02/27/2009
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Provider Practice Location Address
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Address Line | 1848 GREENTREE RD
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City | PITTSBURGH
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State | PA
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Zip | 15220-1851
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Country | US
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Telephone | 412-344-7744
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Fax |
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Provider Business Mailing Address
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Address Line | 147 COMMUNITY CT
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City | PITTSBURGH
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State | PA
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Zip | 15205-1632
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Country | US
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Telephone | 412-977-7226
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 011313
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License Number State | PA
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