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General NPI Number Information
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NPI Number | 1487129904
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Entity Type | Individual
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Provider Name | LORI HALLER MA
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Gender | Female
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Dates
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Enumeration Date | 10/11/2018
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 830 WESTERN AVE
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City | PITTSBURGH
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State | PA
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Zip | 15233-1716
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Country | US
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Telephone | 724-840-9558
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Fax |
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Provider Business Mailing Address
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Address Line | 417 SLEEPY HOLLOW RD
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City | PITTSBURGH
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State | PA
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Zip | 15228-2619
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | PC010419
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License Number State | PA
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