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General NPI Number Information
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NPI Number | 1952448243
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Entity Type | Individual
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Provider Name | MATTHEW ROMANISHIN LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | VA PITTSBURGH HEALTH CARE SYSTEM-PITTSBURGH VA MEDICAL 4100 ALLEQUIPPA STREET
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City | PITTSBURGH
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State | PA
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Zip | 15219
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Country | US
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Telephone | 412-360-6515
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Fax |
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Provider Business Mailing Address
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Address Line | VA BUTLER HEALTH CARE SYSTEM 353 NORTH DUFFY ROAD
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City | BUTLER
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State | PA
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Zip | 16001-1138
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Country | US
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Telephone | 878-271-6730
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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 | CW020806
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License Number State | PA
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