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General NPI Number Information
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NPI Number | 1982397758
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Entity Type | Organization
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Legal Business Name | CYNTHIA MARITATO NP LLC
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Dates
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Enumeration Date | 05/30/2023
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 1759 WATERFRONT PL APT 172
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City | PITTSBURGH
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State | PA
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Zip | 15222-5109
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Country | US
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Telephone | 737-437-2256
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Fax | 855-521-1337
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Provider Business Mailing Address
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Address Line | 500 GRANT ST STE 2900
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City | PITTSBURGH
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State | PA
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Zip | 15219-2502
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Country | US
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Telephone | 737-437-2256
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Fax | 855-521-1337
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Authorized Official
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Title or Position | MEMBER/ OWNER
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Name | CYNTHIA MARITATO
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Credential | CRNP, PMHNP-BC
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Telephone | 570-862-1889
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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 |
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License Number State |
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