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General NPI Number Information
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NPI Number | 1619747730
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Entity Type | Organization
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Legal Business Name | BARBARA PENN
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 12320 ROUTE 30
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City | NORTH HUNTINGDON
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State | PA
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Zip | 15642-2590
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Country | US
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Telephone | 412-370-5435
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Fax | 724-804-5816
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Provider Business Mailing Address
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Address Line | 389 S SHENANDOAH DR
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City | LATROBE
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State | PA
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Zip | 15650-2435
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Country | US
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Telephone | 412-370-5435
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Fax | 724-804-5816
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Authorized Official
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Title or Position | OWNER
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Name | MS. BARBARA PENN
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Credential | LCSW
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Telephone | 412-370-5435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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