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General NPI Number Information
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NPI Number | 1396468278
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Entity Type | Individual
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Provider Name | CASSANDRA M MOFFAT PSYD
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Gender | Female
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 120 SIMON AVE
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City | PITTSBURGH
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State | PA
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Zip | 15237-2822
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Country | US
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Telephone | 412-513-6407
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Fax |
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Provider Business Mailing Address
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Address Line | 401 SHADY AVE STE A103
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City | PITTSBURGH
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State | PA
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Zip | 15206-4457
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Country | US
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Telephone | 412-530-1956
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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