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General NPI Number Information
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NPI Number | 1881017499
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Entity Type | Individual
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Provider Name | MARGARET S SLEZAK LICENSED SOCIAL WORK
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Gender | Female
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Dates
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Enumeration Date | 02/03/2014
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 1 MELLON WAY
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City | LATROBE
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State | PA
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Zip | 15650-1197
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Country | US
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Telephone | 724-537-1346
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Fax | 724-539-6365
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Provider Business Mailing Address
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Address Line | 250 LONE MAPLE DR
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City | NEW ALEXANDRIA
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State | PA
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Zip | 15670-2716
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Country | US
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Telephone | 724-244-5228
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Fax | 724-668-2728
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW131006
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License Number State | PA
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