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General NPI Number Information
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NPI Number | 1831612522
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Entity Type | Individual
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Provider Name | RICARDO STEPHEN MARSILI LPC
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Gender | Male
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 07/25/2017
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Provider Practice Location Address
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Address Line | 231 S MAIN ST SUITE 404
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City | GREENSBURG
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State | PA
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Zip | 15601
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Country | US
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Telephone | 724-516-1569
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Fax |
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Provider Business Mailing Address
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Address Line | 231 S MAIN ST STE 404
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City | GREENSBURG
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State | PA
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Zip | 15601-3115
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Country | US
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Telephone | 724-516-1569
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC009730
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License Number State | PA
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