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General NPI Number Information
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NPI Number | 1740699123
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Entity Type | Organization
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Legal Business Name | FOCUS ON LIFE LLC
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Dates
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Enumeration Date | 08/11/2014
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Last Update Date | 08/11/2014
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Provider Practice Location Address
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Address Line | 733 N HIGHLAND AVE
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City | PITTSBURGH
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State | PA
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Zip | 15206-2573
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Country | US
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Telephone | 412-592-1260
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Fax |
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Provider Business Mailing Address
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Address Line | 7228 LEMINGTON AVE
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City | PITTSBURGH
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State | PA
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Zip | 15206-1938
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. DENETTA BENJAMIN
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Credential |
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Telephone | 412-592-1260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW017054
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License Number State | PA
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