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General NPI Number Information
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NPI Number | 1396010807
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Entity Type | Organization
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Legal Business Name | MARK SHOAF PROFESSIONAL COUNSELING
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Dates
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Enumeration Date | 03/16/2012
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Last Update Date | 03/16/2012
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Provider Practice Location Address
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Address Line | 1380 OLD FREEPORT RD SUITE 2B
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City | PITTSBURGH
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State | PA
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Zip | 15238-3127
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Country | US
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Telephone | 412-517-6848
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Fax |
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Provider Business Mailing Address
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Address Line | 1380 OLD FREEPORT RD SUITE 2B
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City | PITTSBURGH
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State | PA
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Zip | 15238-3127
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Country | US
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Telephone | 412-517-6848
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Fax |
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Authorized Official
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Title or Position | BILLING
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Name | MELISSA R ROMANELLI
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Credential |
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Telephone | 724-387-2455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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