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General NPI Number Information
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NPI Number | 1649429143
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Entity Type | Individual
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Provider Name | FAISAL ROBERTS
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Gender | Male
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 07/06/2017
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Provider Practice Location Address
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Address Line | 40 HUFF AVE
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City | GREENSBURG
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State | PA
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Zip | 15601
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Country | US
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Telephone | 360-961-4738
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Fax |
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Provider Business Mailing Address
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Address Line | 1728 EAGLE RIDGE DR
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City | MONROEVILLE
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State | PA
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Zip | 15146-1769
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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 |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PS018297
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License Number State | PA
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