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General NPI Number Information
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NPI Number | 1336127596
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Entity Type | Individual
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Provider Name | BRUCE A. SORKIN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 427 GREENHURST DR
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City | PITTSBURGH
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State | PA
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Zip | 15243-1919
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Country | US
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Telephone | 412-344-5941
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Fax | 412-345-3779
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Provider Business Mailing Address
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Address Line | PO BOX 13035
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City | PITTSBURGH
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State | PA
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Zip | 15243-0035
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Country | US
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Telephone | 412-344-5941
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Fax | 412-345-3779
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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 | PS005575-L
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License Number State | PA
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