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General NPI Number Information
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NPI Number | 1558623975
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Entity Type | Individual
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Provider Name | ALYSON KEPPLE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 5701 CENTRE AVE STE L9
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City | PITTSBURGH
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State | PA
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Zip | 15206-3779
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Country | US
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Telephone | 703-570-6882
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 CENTRE AVE STE L91
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City | PITTSBURGH
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State | PA
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Zip | 15206-3744
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Country | US
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Telephone | 703-570-6882
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD456191
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License Number State | PA
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