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NPI 1306947585

NPI 1306947585 : KENNETH ERIC MAJOR PSYD : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1306947585
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    Entity Type          |    Individual 
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    Provider Name        |    KENNETH ERIC MAJOR PSYD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/26/2006
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    Last Update Date     |    05/17/2021
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Provider Practice Location Address
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    Address Line         |    1010 DELAFIELD RD 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15240-1005
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    Country              |    US
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    Telephone            |    603-266-9876
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 683 
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    City                 |    WELLS
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    State                |    VT
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    Zip                  |    05774-0683
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    Country              |    US
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    Telephone            |    603-266-9876
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    0480076771
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    License Number State |    VT
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    33541
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    License Number State |    TX
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