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General NPI Number Information
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NPI Number | 1841424314
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Entity Type | Individual
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Provider Name | LEIGH ANN MASTOROVICH LPC, CAADC, CCDP-D
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Gender | Female
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 03/09/2018
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Provider Practice Location Address
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Address Line | ONE NORTHGATE SQUARE SUITE 214
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City | GREENSBURG
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State | PA
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Zip | 15601-1373
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Country | US
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Telephone | 724-216-8490
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Fax | 724-420-5956
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Provider Business Mailing Address
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Address Line | 130 WESTMORELAND AVE
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City | GREENSBURG
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State | PA
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Zip | 15601-3433
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Country | US
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Telephone | 724-216-8490
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Fax | 724-834-1305
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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 | PC004666
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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