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General NPI Number Information
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NPI Number | 1427487438
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Entity Type | Individual
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Provider Name | JESSICA BICKERSTAFF
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Gender | Female
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Dates
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Enumeration Date | 11/11/2013
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 2480 S GRANDE BLVD
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City | GREENSBURG
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State | PA
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Zip | 15601-8902
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Country | US
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Telephone | 724-830-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 53
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City | UNITED
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State | PA
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Zip | 15689-0053
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Country | US
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Telephone | 724-757-2269
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TEI003995
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License Number State | PA
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