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General NPI Number Information
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NPI Number | 1922171354
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Entity Type | Individual
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Provider Name | HEATHER B NEWMAN-TRIVUS MSW,LCSW,ACSW,BCD
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 10/15/2015
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Provider Practice Location Address
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Address Line | 615 WASHINGTON RD STE 504 EXECUTIVE BUILDING
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City | PITTSBURGH
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State | PA
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Zip | 15228-1926
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Country | US
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Telephone | 412-343-1009
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Fax | 412-343-1009
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Provider Business Mailing Address
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Address Line | 2233 NEW BEDFORD DR
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-6472
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Country | US
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Telephone | 813-951-8328
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Fax | 813-684-8708
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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 | CWO13254
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License Number State | PA
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