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General NPI Number Information
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NPI Number | 1497457345
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Entity Type | Individual
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Provider Name | KATHRYN BALCOM LPC
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Gender | Female
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 1720 WASHINGTON RD
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City | PITTSBURGH
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State | PA
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Zip | 15241-1208
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Country | US
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Telephone | 412-854-4887
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Fax |
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Provider Business Mailing Address
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Address Line | 165 SPRING AVE
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City | PITTSBURGH
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State | PA
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Zip | 15202-3713
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Country | US
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Telephone | 412-600-9530
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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 | PC015423
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License Number State | PA
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