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General NPI Number Information
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NPI Number | 1407321706
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Entity Type | Organization
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Legal Business Name | FAMILY ADVOCATE INTEGRATED THROUGH HEALING, LLC
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Dates
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Enumeration Date | 10/12/2018
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 2020 ARDMORE BLVD STE 105
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City | PITTSBURGH
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State | PA
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Zip | 15221-4649
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Country | US
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Telephone | 412-731-2071
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Fax | 412-731-1103
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Provider Business Mailing Address
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Address Line | 322 MALL BLVD STE 242
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City | MONROEVILLE
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State | PA
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Zip | 15146-2241
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Country | US
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Telephone | 412-292-3517
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. DOLLIE CARTLIDGE
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Credential |
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Telephone | 412-731-2071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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