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General NPI Number Information
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NPI Number | 1518254846
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Entity Type | Individual
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Provider Name | PAMELA DICKINSON MS, CCC-A
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Gender | Female
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Dates
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Enumeration Date | 07/07/2011
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Last Update Date | 07/07/2011
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Provider Practice Location Address
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Address Line | 4401 PENN AVE
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City | PITTSBURGH
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State | PA
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Zip | 15224-1334
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Country | US
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Telephone | 412-692-6628
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Fax | 412-692-5302
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Provider Business Mailing Address
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Address Line | 171 JEFFERSON DR
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City | PITTSBURGH
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State | PA
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Zip | 15228-2115
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Country | US
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Telephone | 412-692-6628
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Fax | 412-692-5302
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AT000306L
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License Number State | PA
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