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General NPI Number Information
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NPI Number | 1780544833
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Entity Type | Organization
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Legal Business Name | ENTERA HEALTH ALLIANCE - PA
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 102 CANTER LN
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City | GIBSONIA
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State | PA
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Zip | 15044-7810
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Country | US
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Telephone | 214-440-3671
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Fax |
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Provider Business Mailing Address
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Address Line | 102 CANTER LN
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City | GIBSONIA
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State | PA
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Zip | 15044-7810
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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 | MANAGER
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Name | VALERIE IGNATENKO
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Credential | PHD
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Telephone | 412-600-6705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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