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General NPI Number Information
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NPI Number | 1679151062
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Entity Type | Individual
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Provider Name | JACQUELINE BRASLAWSCE
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Gender | Female
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 907 WEST ST STE 2
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City | PITTSBURGH
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State | PA
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Zip | 15221-2841
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Country | US
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Telephone | 412-241-8552
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Fax |
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Provider Business Mailing Address
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Address Line | 5886 BURCHFIELD AVE
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City | PITTSBURGH
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State | PA
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Zip | 15217-2731
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Country | US
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Telephone | 412-303-5769
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW137971
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License Number State | PA
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