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General NPI Number Information
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NPI Number | 1962126763
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Entity Type | Organization
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Legal Business Name | MANIFEST PSYCHIATRY PLLC
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 2275 SWALLOW HILL RD STE 800
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City | PITTSBURGH
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State | PA
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Zip | 15220-1671
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Country | US
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Telephone | 412-668-1924
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Fax | 412-207-3117
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Provider Business Mailing Address
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Address Line | 2275 SWALLOW HILL RD STE 800
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City | PITTSBURGH
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State | PA
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Zip | 15220-1671
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Country | US
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Telephone | 412-668-1924
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Fax | 412-207-3117
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONNESHA V SLIDER
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Credential | MD
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Telephone | 412-668-1924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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