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General NPI Number Information
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NPI Number | 1699433391
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Entity Type | Individual
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Provider Name | ROXANNE ELIZABETH KERSTETTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 1201 S BRADDOCK AVE STE 2
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City | PITTSBURGH
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State | PA
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Zip | 15218-1275
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Country | US
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Telephone | 412-407-7642
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Fax |
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Provider Business Mailing Address
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Address Line | 564 S TRENTON AVE APT A
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City | PITTSBURGH
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State | PA
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Zip | 15221-3286
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Country | US
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Telephone | 717-437-5403
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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 | CW024430
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW024430
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License Number State | PA
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