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General NPI Number Information
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NPI Number | 1518744556
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Entity Type | Organization
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Legal Business Name | CONFLUENCE MIND AND MOTION, LLC
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 201 PENN CENTER BLVD STE 400
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City | PITTSBURGH
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State | PA
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Zip | 15235-5441
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Country | US
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Telephone | 724-243-2686
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Fax | 412-415-7151
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Provider Business Mailing Address
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Address Line | 201 PENN CENTER BLVD STE 400
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City | PITTSBURGH
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State | PA
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Zip | 15235-5441
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Country | US
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Telephone | 724-243-2686
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Fax | 412-415-7151
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Authorized Official
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Title or Position | DIRECT OWNER
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Name | SPENCER PAUL KILPATRICK
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Credential | LCSW
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Telephone | 724-413-8081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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