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General NPI Number Information
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NPI Number | 1477848836
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Entity Type | Organization
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Legal Business Name | DENNIS M. NIGRA
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 901 WESTERN AVE SUITE 204
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City | PITTSBURGH
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State | PA
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Zip | 15233-1719
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Country | US
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Telephone | 412-512-8664
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Fax | 412-231-1570
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Provider Business Mailing Address
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Address Line | 901 WESTERN AVE SUITE 204
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City | PITTSBURGH
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State | PA
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Zip | 15233-1719
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Country | US
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Telephone | 412-512-8664
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Fax | 412-231-1570
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MR. DENNIS MARIO NIGRA
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Credential | LPC
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Telephone | 412-512-8664
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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 | PC 005146
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License Number State | PA
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