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General NPI Number Information
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NPI Number | 1386969186
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Entity Type | Organization
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Legal Business Name | JUSTICEWORKS YOUTHCARE SC INC.
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 1500 ARDMORE BLVD SUITE 410
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City | PITTSBURGH
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State | PA
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Zip | 15221
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Country | US
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Telephone | 412-342-1068
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 ARDMORE BLVD SUITE 410
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City | PITTSBURGH
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State | PA
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Zip | 15221
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Country | US
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Telephone | 412-342-1068
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL HEIT
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Credential |
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Telephone | 412-342-1068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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