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General NPI Number Information
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NPI Number | 1619466299
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Entity Type | Organization
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Legal Business Name | THE CHILDREN'S INSTITUTE OF PITTSBURGH
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Dates
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Enumeration Date | 05/09/2018
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Last Update Date | 05/09/2018
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Provider Practice Location Address
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Address Line | 6301 NORTHUMBERLAND ST
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City | PITTSBURGH
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State | PA
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Zip | 15217-1360
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Country | US
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Telephone | 412-244-3054
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 SHADY AVE
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City | PITTSBURGH
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State | PA
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Zip | 15217-1350
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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 | VP FINANCE
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Name | JOHN M JUBAS
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Credential |
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Telephone | 412-420-2308
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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 | 449220
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License Number State | PA
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