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General NPI Number Information
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NPI Number | 1710579420
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Entity Type | Organization
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Legal Business Name | THOMAS M O'MAHONY, LCSW, LLC
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 50 SNYDER RD STE 1
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City | HERMITAGE
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State | PA
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Zip | 16148-3432
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Country | US
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Telephone | 724-877-8595
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Fax | 724-297-3131
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Provider Business Mailing Address
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Address Line | 4002 HERMITAGE HILLS BLVD APT 10
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City | HERMITAGE
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State | PA
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Zip | 16148-3423
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Country | US
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Telephone | 724-877-8595
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Fax | 724-297-3131
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | THOMAS M O'MAHONY
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Credential | LCSW
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Telephone | 724-877-8595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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