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General NPI Number Information
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NPI Number | 1902995293
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Entity Type | Individual
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Provider Name | WILLIAM A. SORRELL MSS
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 09/30/2018
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Provider Practice Location Address
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Address Line | 4608 PENN AVE
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City | PITTSBURGH
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State | PA
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Zip | 15224
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Country | US
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Telephone | 412-621-4757
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Fax | 412-621-5720
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Provider Business Mailing Address
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Address Line | 315 BARNES ST APT 2
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City | PITTSBURGH
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State | PA
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Zip | 15221-3366
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Country | US
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Telephone | 610-970-8588
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW016811
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License Number State | PA
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