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General NPI Number Information
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NPI Number | 1962981860
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Entity Type | Organization
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Legal Business Name | OCD SPECTRUM, INC
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 606 WASHINGTON AVE
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-2571
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Country | US
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Telephone | 412-444-8776
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Fax | 877-423-2073
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Provider Business Mailing Address
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Address Line | 1889 SPRINGMONT DR
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City | PITTSBURGH
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State | PA
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Zip | 15241-2158
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NICHOLAS FLOWER
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Credential | PSY.D.
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Telephone | 412-444-8776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PS016833
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License Number State | PA
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