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General NPI Number Information
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NPI Number | 1598920654
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Entity Type | Organization
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Legal Business Name | MACEDONIA FAMILY AND COMMUNITY ENRICHMENT CENTER, INC
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 2851 BEDFORD AVE STE 3
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City | PITTSBURGH
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State | PA
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Zip | 15219-4067
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Country | US
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Telephone | 412-687-8004
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Fax | 412-687-6950
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Provider Business Mailing Address
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Address Line | 2226 BEDFORD AVE
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City | PITTSBURGH
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State | PA
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Zip | 15219-4056
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Country | US
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Telephone | 412-281-2573
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Fax | 412-281-3854
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. BARBARA J. WILLIAMS
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Credential | LCSW,BCD
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Telephone | 412-281-2573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | CW012711
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License Number State | PA
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