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General NPI Number Information
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NPI Number | 1558821165
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Entity Type | Organization
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Legal Business Name | MARASTI-GEORG PSYCHOLOGICAL LLC
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 03/20/2019
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Provider Practice Location Address
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Address Line | 1900 MURRAY AVE STE 206
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City | PITTSBURGH
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State | PA
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Zip | 15217-1657
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Country | US
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Telephone | 412-353-3998
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 MURRAY AVE STE 206
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City | PITTSBURGH
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State | PA
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Zip | 15217-1657
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | STEPHANIE MARASTI-GEORG
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Credential |
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Telephone | 412-353-3998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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