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General NPI Number Information
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NPI Number | 1962738062
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Entity Type | Individual
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Provider Name | CHRISTINA HOSTUTLER LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/23/2009
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 1840 MAYVIEW RD STE 204
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-1590
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Country | US
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Telephone | 412-527-8407
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Fax |
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Provider Business Mailing Address
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Address Line | 2936 ESPY AVE
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City | PITTSBURGH
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State | PA
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Zip | 15216-2017
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Country | US
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Telephone | 412-527-8407
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Fax | 412-386-3733
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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 | CW015056
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License Number State | PA
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