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General NPI Number Information
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NPI Number | 1831239136
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Entity Type | Individual
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Provider Name | MARY ELLEN MALONEY L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 701 WASHINGTON RD SUITE 4
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City | PITTSBURGH
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State | PA
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Zip | 15228-2023
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Country | US
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Telephone | 412-512-8549
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Fax |
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Provider Business Mailing Address
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Address Line | 503 LONGRIDGE DR
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City | PITTSBURGH
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State | PA
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Zip | 15243-2051
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Country | US
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Telephone | 412-563-3451
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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 | CW014815
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License Number State | PA
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