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General NPI Number Information
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NPI Number | 1669005203
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Entity Type | Organization
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Legal Business Name | NORTH SHORE COUNSELING SERVICES
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Dates
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Enumeration Date | 02/21/2020
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 901 WESTERN AVE STE 202
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City | PITTSBURGH
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State | PA
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Zip | 15233-1719
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Country | US
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Telephone | 412-335-7653
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Fax | 888-244-7140
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Provider Business Mailing Address
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Address Line | 901 WESTERN AVE STE 202
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City | PITTSBURGH
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State | PA
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Zip | 15233-1719
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Country | US
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Telephone | 412-335-7653
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Fax | 888-244-7140
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Authorized Official
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Title or Position | OWNER
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Name | NAGARIKA NELLORI
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Credential | PHD
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Telephone | 412-335-7653
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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 |
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License Number State |
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