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General NPI Number Information
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NPI Number | 1720580871
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Entity Type | Individual
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Provider Name | CAMDEN BIANCO LPC
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Gender | Female
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Dates
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Enumeration Date | 03/05/2018
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Last Update Date | 03/05/2018
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Provider Practice Location Address
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Address Line | 4729 ELLSWORTH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15213-2802
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Country | US
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Telephone | 412-621-4361
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Fax |
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Provider Business Mailing Address
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Address Line | 2147 FAIRLAND ST
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City | PITTSBURGH
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State | PA
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Zip | 15210-4017
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Country | US
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Telephone | 412-689-0680
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LP009998
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License Number State | PA
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