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General NPI Number Information
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NPI Number | 1790481059
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Entity Type | Individual
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Provider Name | JORDAN BILICH MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 3000 PARK PLACE DR STE 108
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City | WASHINGTON
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State | PA
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Zip | 15301-2068
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Country | US
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Telephone | 412-435-4648
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Fax |
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Provider Business Mailing Address
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Address Line | 107 KATHY ANN LN
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City | MC MURRAY
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State | PA
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Zip | 15317-3200
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Country | US
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Telephone | 304-982-9618
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW023145
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License Number State | PA
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