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General NPI Number Information
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NPI Number | 1629266259
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Entity Type | Individual
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Provider Name | ROBERT MICHAEL BEHANNA JR. LPC, MA, CCDP DIPLOM
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Gender | Male
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 902 SHERWOOD CIR
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City | CONNELLSVILLE
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State | PA
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Zip | 15425-1862
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Country | US
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Telephone | 724-812-6792
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Fax |
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Provider Business Mailing Address
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Address Line | 902 SHERWOOD CIR
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City | CONNELLSVILLE
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State | PA
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Zip | 15425-1862
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Country | US
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Telephone | 724-812-6792
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC004726
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License Number State | PA
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