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General NPI Number Information
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NPI Number | 1508696964
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Entity Type | Organization
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Legal Business Name | PREMIER PSYCHOTHERAPY
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Dates
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Enumeration Date | 08/01/2024
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 5150 PENN AVE
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City | PITTSBURGH
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State | PA
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Zip | 15224-1626
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Country | US
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Telephone | 412-256-8869
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Fax | 141-277-4290
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Provider Business Mailing Address
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Address Line | 1036 PREMIER ST
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City | PITTSBURGH
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State | PA
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Zip | 15201-2155
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Country | US
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Telephone | 304-641-1567
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | ERIKA GILMORE
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Credential | LPC
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Telephone | 304-641-1567
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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 |
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License Number State |
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