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General NPI Number Information
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NPI Number | 1659613842
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Entity Type | Individual
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Provider Name | ALICIA H PUSKAR PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 3200 S WATER ST
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City | PITTSBURGH
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State | PA
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Zip | 15203-2307
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Country | US
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Telephone | 412-432-3600
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Fax | 412-432-3690
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Provider Business Mailing Address
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Address Line | PO BOX 420
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City | PERRYOPOLIS
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State | PA
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Zip | 15473-0420
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Country | US
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Telephone | 724-317-1647
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Fax | 412-647-4486
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS017312
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS017312
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | PS017312
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PS017312
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License Number State | PA
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