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General NPI Number Information
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NPI Number | 1922843846
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Entity Type | Organization
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Legal Business Name | LILY J VANDYK LLC
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Dates
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Enumeration Date | 07/01/2024
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 201 S CRAIG ST
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City | PITTSBURGH
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State | PA
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Zip | 15213-3732
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Country | US
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Telephone | 774-437-3293
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Fax |
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Provider Business Mailing Address
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Address Line | 3518 5TH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15213-3310
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Country | US
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Telephone | 412-910-1233
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Fax | 757-257-2825
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Authorized Official
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Title or Position | OWNER
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Name | LILY JAYNE VANDYK
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Credential |
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Telephone | 774-437-3293
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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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