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General NPI Number Information
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NPI Number | 1710910310
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Entity Type | Organization
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Legal Business Name | BEAVER COUNTY PSYCHIATRIC SERVICES, PC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 219 THIRD STREET
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City | BEAVER
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State | PA
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Zip | 15009
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Country | US
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Telephone | 724-775-9150
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Fax | 724-775-9153
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Provider Business Mailing Address
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Address Line | 219 THIRD STREET
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City | BEAVER
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State | PA
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Zip | 15009
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Country | US
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Telephone | 724-775-9150
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Fax | 724-775-9153
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SUZANNE E VOGEL-SCIBILIA
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Credential | MD
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Telephone | 724-775-9150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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