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General NPI Number Information
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NPI Number | 1619964954
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Entity Type | Individual
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Provider Name | BECKY LYNN LUDWIG LSW
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Gender | Female
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 81 S 19TH ST
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City | PITTSBURGH
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State | PA
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Zip | 15203-1852
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Country | US
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Telephone | 412-431-5665
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Fax | 412-431-0913
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Provider Business Mailing Address
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Address Line | 102 COUNTRYVIEW DRIVE
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City | MCKEES ROCKS
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State | PA
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Zip | 15136
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Country | US
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Telephone | 412-979-4957
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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 | SW123141
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License Number State | PA
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