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NPI 1922780840

NPI 1922780840 : VANIA BRISTER LSW : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1922780840
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    Entity Type          |    Individual 
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    Provider Name        |    VANIA BRISTER LSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/01/2023
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    Last Update Date     |    09/15/2025
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Provider Practice Location Address
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    Address Line         |    1405 SHADY AVE 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15217-1350
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    Country              |    US
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    Telephone            |    412-420-2400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1913 EAGLE RIDGE DR 
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    City                 |    MONROEVILLE
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    State                |    PA
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    Zip                  |    15146-1774
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    Country              |    US
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    Telephone            |    773-799-6040
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    SW141048
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    License Number State |    PA
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