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General NPI Number Information
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NPI Number | 1679453351
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Entity Type | Individual
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Provider Name | ZOIE DERKAS ATR-P, LAPC
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Gender | Female
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1 NORTHGATE SQ STE 218
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City | GREENSBURG
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State | PA
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Zip | 15601-1374
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Country | US
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Telephone | 724-689-6118
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Fax |
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Provider Business Mailing Address
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Address Line | 158 N DIAMOND ST
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City | MOUNT PLEASANT
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State | PA
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Zip | 15666-1401
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Country | US
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Telephone | 724-810-6346
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APC001656
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License Number State | PA
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