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General NPI Number Information
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NPI Number | 1447444864
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Entity Type | Organization
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Legal Business Name | PSYCARE INC
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 26 NESBITT RD STE 110
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City | NEW CASTLE
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State | PA
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Zip | 16105-3410
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Country | US
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Telephone | 724-657-1881
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Fax | 724-657-9178
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Provider Business Mailing Address
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Address Line | 26 NESBITT RD STE 110
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City | NEW CASTLE
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State | PA
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Zip | 16105-3410
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Country | US
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Telephone | 724-657-1881
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Fax | 724-657-9178
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Authorized Official
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Title or Position | MANAGER
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Name | TRISH A RENO
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Credential |
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Telephone | 724-657-1881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW014970
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW012208
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD045410E
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RN285726L
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW014276
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License Number State | PA
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