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General NPI Number Information
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NPI Number | 1952450967
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Entity Type | Individual
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Provider Name | MARGIE PENNIE MARS M.ED., L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1725 WASHINGTON RD SUITE 509
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City | PITTSBURGH
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State | PA
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Zip | 15241-1207
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Country | US
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Telephone | 412-831-8180
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 VALLEYVIEW DR
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City | LAWRENCE
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State | PA
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Zip | 15055-1035
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Country | US
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Telephone | 724-745-6611
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC002332
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License Number State | PA
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