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General NPI Number Information
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NPI Number | 1518759562
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Entity Type | Individual
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Provider Name | ANTRONICE TROI WILSON LSW
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Gender | Female
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Dates
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Enumeration Date | 05/17/2025
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 100 N BELLEFIELD AVE STE 4
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City | PITTSBURGH
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State | PA
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Zip | 15213-2600
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Country | US
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Telephone | 412-624-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2239 RAILROAD ST APT 624
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City | PITTSBURGH
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State | PA
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Zip | 15222-4841
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Country | US
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Telephone | 412-657-7648
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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