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General NPI Number Information
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NPI Number | 1871680876
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Entity Type | Individual
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Provider Name | JILL MARIE BECHTOLD PTA
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2414 LYTLE RD SUITE 200 HIRAS PROFESSIONAL BUILDING
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City | BETHEL PARK
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State | PA
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Zip | 15102
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Country | US
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Telephone | 412-854-5077
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Fax | 412-854-5571
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Provider Business Mailing Address
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Address Line | 3386 CHURCHVIEW AVE
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City | PITTSBURGH
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State | PA
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Zip | 15227
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Country | US
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Telephone | 412-885-2851
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Fax | 412-854-5571
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TE005482L
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License Number State | PA
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