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General NPI Number Information
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NPI Number | 1578744108
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Entity Type | Individual
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Provider Name | YVONNE LYDIA LITTLEJOHN LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 1000 JACKS RUN RD SUITE G
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City | NORTH VERSAILLES
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State | PA
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Zip | 15137-2744
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Country | US
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Telephone | 412-513-7896
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Fax |
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Provider Business Mailing Address
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Address Line | 360 MORROW DR
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City | PENN HILLS
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State | PA
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Zip | 15235-3303
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Country | US
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Telephone | 412-513-7896
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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 | SW125216
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License Number State | PA
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