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General NPI Number Information
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NPI Number | 1811264450
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Entity Type | Individual
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Provider Name | JOHN V VINAY MSED, NCC, LPC, CCBT
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Gender | Male
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Dates
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Enumeration Date | 11/28/2011
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 2884 INDUSTRIAL BLVD SUITE #7
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City | BETHEL PARK
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State | PA
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Zip | 15102-2580
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Country | US
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Telephone | 412-952-9460
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Fax |
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Provider Business Mailing Address
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Address Line | 2913 BETHEL CHURCH RD
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City | BETHEL PARK
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State | PA
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Zip | 15102-1603
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Country | US
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Telephone | 412-952-9460
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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 | PC006059
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License Number State | PA
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