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General NPI Number Information
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NPI Number | 1962104612
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Entity Type | Individual
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Provider Name | PAMELA JEAN MCCLEARY PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 811 GRANDVIEW RD STE 100
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City | OIL CITY
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State | PA
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Zip | 16301-2077
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Country | US
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Telephone | 814-670-7950
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Fax | 814-670-7951
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Provider Business Mailing Address
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Address Line | 100 SHENANGO AVE
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City | SHARON
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State | PA
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Zip | 16146-1503
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Country | US
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Telephone | 814-670-7950
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Fax | 814-670-7951
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP027704
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License Number State | PA
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