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General NPI Number Information
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NPI Number | 1326627936
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Entity Type | Individual
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Provider Name | DANIEL STROM GRUNER PSYCHOLOGIST
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Gender | Male
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 540 N NEVILLE ST STE 102
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City | PITTSBURGH
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State | PA
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Zip | 15213-2853
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Country | US
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Telephone | 412-353-9085
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Fax |
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Provider Business Mailing Address
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Address Line | 7319 SCHLEY AVE
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City | SWISSVALE
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State | PA
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Zip | 15218-2439
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Country | US
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Telephone | 812-493-5633
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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 | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | PS019226
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License Number State | PA
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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 | PS019226
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License Number State | PA
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