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General NPI Number Information
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NPI Number | 1417690710
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Entity Type | Individual
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Provider Name | THARICK PASCOAL MD
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Gender | Male
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Dates
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Enumeration Date | 04/15/2022
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 3471 5TH AVE STE 810
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City | PITTSBURGH
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State | PA
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Zip | 15213-3206
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Country | US
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Telephone | 412-663-6628
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Fax |
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Provider Business Mailing Address
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Address Line | 200 MEYRAN AVE RM 507
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City | PITTSBURGH
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State | PA
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Zip | 15213-3305
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Country | US
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Telephone |
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | MD483362
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License Number State | PA
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