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General NPI Number Information
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NPI Number | 1558530774
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Entity Type | Individual
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Provider Name | MICHELLE S GOULD MSW,LSW
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Gender | Female
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 1001 S LEECHBURG HILL RD
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City | LEECHBURG
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State | PA
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Zip | 15656-9502
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Country | US
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Telephone | 724-845-2978
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Fax |
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Provider Business Mailing Address
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Address Line | 582 SUNRISE DR
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City | LEECHBURG
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State | PA
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Zip | 15656-1532
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Country | US
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Telephone | 724-845-7155
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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 | SW012116L
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License Number State | PA
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