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General NPI Number Information
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NPI Number | 1437791761
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Entity Type | Organization
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Legal Business Name | ADVERSE CHILDHOOD EXPERIENCE, LLC
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 208 LONG RD
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City | PITTSBURGH
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State | PA
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Zip | 15235-3145
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Country | US
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Telephone | 412-512-0665
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Fax |
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Provider Business Mailing Address
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Address Line | 208 LONG RD
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City | PITTSBURGH
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State | PA
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Zip | 15235-3145
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Country | US
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Telephone | 412-512-0665
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DEBORAH ROSALIND MCALLISTER
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Credential | PROFESSIOAL COUNSELO
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Telephone | 412-512-0665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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