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General NPI Number Information
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NPI Number | 1467013664
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Entity Type | Organization
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Legal Business Name | TERRI M. PATTILLO
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 05/01/2020
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Provider Practice Location Address
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Address Line | 311 S CRAIG ST # M4
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City | PITTSBURGH
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State | PA
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Zip | 15213-3734
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Country | US
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Telephone | 412-727-8264
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Fax |
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Provider Business Mailing Address
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Address Line | 5457 HAYS ST
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City | PITTSBURGH
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State | PA
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Zip | 15206-2077
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Country | US
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Telephone | 412-727-8264
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | TERRI MICHELLE PATTILLO
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Credential | LPC, NCC
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Telephone | 412-727-8264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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