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General NPI Number Information
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NPI Number | 1396389268
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH DEELY NCSP
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Gender | Male
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Dates
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Enumeration Date | 11/04/2019
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Last Update Date | 06/27/2020
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Provider Practice Location Address
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Address Line | 1200 1ST ST NE FL 9
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City | WASHINGTON
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State | DC
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Zip | 20002-7953
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Country | US
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Telephone | 412-926-7864
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Fax |
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Provider Business Mailing Address
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Address Line | 321 ELMBROOK LN
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City | PITTSBURGH
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State | PA
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Zip | 15243-1439
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Country | US
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Telephone | 412-926-7864
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1875
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License Number State | PA
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