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General NPI Number Information
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NPI Number | 1568938702
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Entity Type | Organization
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Legal Business Name | TEAL L. FITZPATRICK, PH.D., LLC
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 10/15/2018
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Provider Practice Location Address
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Address Line | 307 4TH AVE STE 1100
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City | PITTSBURGH
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State | PA
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Zip | 15222-2107
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Country | US
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Telephone | 412-532-9460
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Fax |
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Provider Business Mailing Address
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Address Line | 4037 HOWLEY ST
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City | PITTSBURGH
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State | PA
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Zip | 15224-1438
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Country | US
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Telephone | 917-566-7500
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. TEAL L. FITZPATRICK
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Credential | PH.D.
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Telephone | 412-532-9460
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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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