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General NPI Number Information
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NPI Number | 1558596817
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Entity Type | Organization
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Legal Business Name | JODY BECHTOLD, LCSW, LLC
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Dates
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Enumeration Date | 05/15/2009
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Last Update Date | 05/15/2009
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Provider Practice Location Address
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Address Line | 20 CEDAR BLVD SUITE 204
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City | PITTSBURGH
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State | PA
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Zip | 15228-1330
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Country | US
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Telephone | 412-303-0163
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Fax |
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Provider Business Mailing Address
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Address Line | 2641 PIONEER AVE
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City | PITTSBURGH
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State | PA
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Zip | 15226-2048
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Country | US
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Telephone | 412-303-0163
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JODY BECHTOLD
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Credential | LCSW
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Telephone | 412-303-0163
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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 | CW015486
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License Number State | PA
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