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General NPI Number Information
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NPI Number | 1780350926
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Entity Type | Individual
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Provider Name | TRACY L CLARKE LPC
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Gender | Female
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1121 BOYCE RD STE 2100
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City | PITTSBURGH
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State | PA
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Zip | 15241-4020
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Country | US
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Telephone | 412-256-8256
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Fax | 888-971-4394
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Provider Business Mailing Address
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Address Line | 107 KNOX ST
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-3017
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Country | US
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Telephone | 412-726-2140
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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 | PC013396
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License Number State | PA
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