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General NPI Number Information
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NPI Number | 1720777543
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Entity Type | Organization
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Legal Business Name | REBECCA SHELLEY GOLDEN-TRIST
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 02/04/2024
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Provider Practice Location Address
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Address Line | 4075 WILLIAM PENN HWY
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City | MURRYSVILLE
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State | PA
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Zip | 15668-1867
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Country | US
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Telephone | 412-475-9610
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Fax |
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Provider Business Mailing Address
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Address Line | 4075 WILLIAM PENN HWY
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City | MURRYSVILLE
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State | PA
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Zip | 15668-1867
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Country | US
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Telephone | 412-475-9610
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA SHELLEY GOLDEN-TRIST
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Credential | LMFT, LPC
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Telephone | 412-475-9610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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