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General NPI Number Information
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NPI Number | 1386194777
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Entity Type | Organization
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Legal Business Name | ROBERT F. COUFAL PHD AND ASSOCIATES PC
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Dates
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Enumeration Date | 10/10/2016
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 5701 CENTRE AVE SUITE L-12
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City | PITTSBURGH
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State | PA
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Zip | 15206-3744
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Country | US
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Telephone | 412-362-1470
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Fax | 412-362-1472
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Provider Business Mailing Address
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Address Line | 5701 CENTRE AVE SUITE L-12
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City | PITTSBURGH
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State | PA
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Zip | 15206-3744
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Country | US
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Telephone | 412-362-1470
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Fax | 412-362-1472
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT F. COUFAL
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Credential | PHD
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Telephone | 412-362-1470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PS005360L
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License Number State | PA
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