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General NPI Number Information
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NPI Number | 1942590807
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Entity Type | Individual
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Provider Name | ROSEMARY RUSH LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 252 COLLEGE AVE
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City | BEAVER
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State | PA
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Zip | 15009-2706
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Country | US
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Telephone | 724-453-4881
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Fax |
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Provider Business Mailing Address
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Address Line | 107 MACKALL DR
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City | BEAVER
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State | PA
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Zip | 15009-1210
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Country | US
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Telephone | 724-453-4881
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW126659
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License Number State | PA
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