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General NPI Number Information
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NPI Number | 1578789574
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Entity Type | Organization
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Legal Business Name | TRANSFORMEDIA LLC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 4284 WILLIAM FLYNN HWY STE 206
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City | ALLISON PARK
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State | PA
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Zip | 15101-1440
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Country | US
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Telephone | 412-445-5352
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Fax |
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Provider Business Mailing Address
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Address Line | 9401 MCKNIGHT RD SUITE 308
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City | PITTSBURGH
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State | PA
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Zip | 15237-6000
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Country | US
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Telephone | 412-445-5352
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Fax | 412-630-8350
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. NANCY MRAMOR
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Credential | PH.D.
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Telephone | 412-445-5352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 004833-L
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License Number State | PA
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