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General NPI Number Information
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NPI Number | 1841887569
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Entity Type | Individual
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Provider Name | MONICA ROXANNE CWYNAR CW023641
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Gender | Female
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 5830 ELLSWORTH AVE STE 301
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City | PITTSBURGH
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State | PA
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Zip | 15232-1778
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Country | US
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Telephone | 412-208-6279
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Fax |
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Provider Business Mailing Address
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Address Line | 342 HAZELWOOD AVE
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City | PITTSBURGH
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State | PA
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Zip | 15207-1528
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Country | US
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Telephone | 412-680-8463
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 451520
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW023641
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License Number State | PA
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