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General NPI Number Information
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NPI Number | 1326265182
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Entity Type | Individual
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Provider Name | JESSIE A GOICOECHEA PHD
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 7625 W. HUTCHINSON AVENUE
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City | PITTSBURGH
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State | PA
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Zip | 15218
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Country | US
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Telephone | 412-728-8115
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Fax |
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Provider Business Mailing Address
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Address Line | 558 PEEBLES ST
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City | PITTSBURGH
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State | PA
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Zip | 15221-3264
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Country | US
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Telephone | 412-728-8115
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PS015687
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License Number State | PA
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