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General NPI Number Information
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NPI Number | 1730180712
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Entity Type | Individual
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Provider Name | PAUL FREDERICK NEEDLE M.ED.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 1900 MURRAY AVE SUITE 205
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City | PITTSBURGH
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State | PA
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Zip | 15217-1657
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Country | US
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Telephone | 412-656-7215
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Fax | 412-422-2582
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Provider Business Mailing Address
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Address Line | 5411 FORBES AVE
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City | PITTSBURGH
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State | PA
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Zip | 15217-1105
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Country | US
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Telephone | 412-422-2813
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Fax | 412-422-2582
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS006815L
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License Number State | PA
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