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General NPI Number Information
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NPI Number | 1487796173
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Entity Type | Organization
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Legal Business Name | GOODWILL INDUSTRIES OF PITTSBURGH
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2600 E CARSON ST
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City | PITTSBURGH
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State | PA
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Zip | 15203-2102
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Country | US
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Telephone | 412-481-9005
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 E CARSON ST
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City | PITTSBURGH
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State | PA
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Zip | 15203-2102
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Country | US
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Telephone | 412-481-9005
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT FOR HUMAN SERVICES
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Name | MR. BRADLEY R BURGER
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Credential | M.ED
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Telephone | 412-390-2219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 414940
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 414940
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License Number State | PA
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