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General NPI Number Information
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NPI Number | 1629014527
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Entity Type | Individual
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Provider Name | SHELLY HANLON MSW, PSY.D
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Gender | Female
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6315 FORBES AVE GROUND LEVEL OFFICES
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City | PITTSBURGH
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State | PA
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Zip | 15217-1745
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Country | US
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Telephone | 412-422-1464
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Fax | 412-421-2255
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Provider Business Mailing Address
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Address Line | 6315 FORBES AVE GROUND LEVEL OFFICES
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City | PITTSBURGH
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State | PA
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Zip | 15217-1745
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Country | US
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Telephone | 412-422-1464
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Fax | 412-421-2255
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW002413L
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License Number State | PA
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