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General NPI Number Information
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NPI Number | 1710659875
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Entity Type | Individual
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Provider Name | STEPHANIE I PERGANTIS LPC
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Gender | Female
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 300 S WALNUT LN STE 101&201
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City | BEAVER
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State | PA
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Zip | 15009-1739
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Country | US
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Telephone | 412-888-3317
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Fax |
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Provider Business Mailing Address
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Address Line | 28 FRIDAY RD
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City | PITTSBURGH
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State | PA
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Zip | 15209-2162
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Country | US
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Telephone | 412-848-7708
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0013810
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License Number State | CO
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