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General NPI Number Information
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NPI Number | 1912618935
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Entity Type | Organization
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Legal Business Name | KERRIE BOYDMAN, LCSW LCC
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Dates
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Enumeration Date | 12/09/2022
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 9400 MCKNIGHT RD STE 201
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City | PITTSBURGH
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State | PA
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Zip | 15237-6007
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Country | US
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Telephone | 412-444-5062
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Fax |
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Provider Business Mailing Address
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Address Line | 9400 MCKNIGHT RD STE 201
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City | PITTSBURGH
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State | PA
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Zip | 15237-6007
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Country | US
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Telephone | 412-444-5062
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Fax |
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Authorized Official
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Title or Position | FOUNDER/DIRECTOR
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Name | KERRIE BOYDMAN
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Credential |
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Telephone | 412-444-5062
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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 |
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License Number State |
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