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General NPI Number Information
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NPI Number | 1750299467
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Entity Type | Individual
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Provider Name | LISA ROTELLO LSW
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Gender | Female
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 2600 OLD WASHINGTON RD STE AND250
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City | PITTSBURGH
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State | PA
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Zip | 15241-2524
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Country | US
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Telephone | 412-634-5969
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Fax | 412-532-9767
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Provider Business Mailing Address
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Address Line | 1318 MEADOWBROOK DR
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City | CANONSBURG
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State | PA
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Zip | 15317-5029
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Country | US
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Telephone | 412-634-5969
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Fax | 412-532-9767
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW01273L
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License Number State | PA
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