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General NPI Number Information
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NPI Number | 1467816108
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Entity Type | Organization
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Legal Business Name | JULIE A BLUNKOSKY LCSW
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | 179 CUMER ROAD
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City | MCDONALD
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State | PA
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Zip | 15057
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Country | US
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Telephone | 786-766-1003
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Fax |
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Provider Business Mailing Address
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Address Line | 1580 MCLAUGHLIN RUN RD SUITE 203B
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City | PITTSBURGH
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State | PA
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Zip | 15241
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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 | PRESIDENT
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Name | MS. JULIE ANN BLUNKOSKY
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Credential | LCSW
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Telephone | 786-766-1003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | SW 11814
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | CW018939
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License Number State | PA
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