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General NPI Number Information
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NPI Number | 1932145463
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Entity Type | Individual
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Provider Name | STANLEY HOWARD NADULEK PH.D., P.C.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 4068 MOUNT ROYAL BLVD SUITE 218
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City | ALLISON PARK
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State | PA
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Zip | 15101-2977
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Country | US
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Telephone | 412-487-1710
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Fax | 724-444-3047
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Provider Business Mailing Address
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Address Line | 4068 MOUNT ROYAL BLVD SUITE 218
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City | ALLISON PARK
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State | PA
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Zip | 15101-2977
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Country | US
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Telephone | 412-487-1710
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Fax | 724-444-3047
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS-005306-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS-005306-L
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License Number State | PA
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