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General NPI Number Information
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NPI Number | 1790786374
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Entity Type | Individual
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Provider Name | MARY JANE NIEBAUER PHD
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Gender | Female
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 325 NEW CASTLE RD
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City | BUTLER
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State | PA
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Zip | 16001-2418
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Country | US
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Telephone | 724-285-2501
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Fax | 724-477-5038
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Provider Business Mailing Address
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Address Line | 325 NEW CASTLE RD
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City | BUTLER
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State | PA
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Zip | 16001-2418
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Country | US
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Telephone | 724-285-2501
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Fax | 724-477-5038
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS009247L
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License Number State | PA
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