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General NPI Number Information
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NPI Number | 1942516620
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Entity Type | Individual
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Provider Name | PAULA A KELLY-KELLER MSW, LSW
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Gender | Female
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Dates
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Enumeration Date | 08/19/2010
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Last Update Date | 08/19/2010
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Provider Practice Location Address
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Address Line | 4760 CENTRE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15213-1704
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Country | US
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Telephone | 412-687-8017
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Fax | 412-687-3315
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Provider Business Mailing Address
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Address Line | 1735 EL PASO ST
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City | PITTSBURGH
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State | PA
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Zip | 15206-1141
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Country | US
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Telephone | 412-361-5633
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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 | SW128016
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License Number State | PA
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