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General NPI Number Information
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NPI Number | 1972765071
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Entity Type | Individual
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Provider Name | DEBORAH LYNN KRUGLAK GILMAN PHD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 1386 OLD FREEPORT RD SUITE 3BR
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City | PITTSBURGH
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State | PA
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Zip | 15238-3115
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Country | US
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Telephone | 412-996-8855
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Fax |
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Provider Business Mailing Address
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Address Line | 361 DORSEYVILLE RD
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City | PITTSBURGH
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State | PA
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Zip | 15215-1022
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Country | US
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Telephone | 412-996-8855
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS016427
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License Number State | PA
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