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General NPI Number Information
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NPI Number | 1982467221
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Entity Type | Organization
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Legal Business Name | HUGH LANE WELLNESS FOUNDATION
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 925 BRIGHTON RD
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City | PITTSBURGH
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State | PA
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Zip | 15233-1707
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Country | US
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Telephone | 412-626-3812
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Fax |
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Provider Business Mailing Address
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Address Line | 925 BRIGHTON RD
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City | PITTSBURGH
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State | PA
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Zip | 15233-1707
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Country | US
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Telephone | 412-626-3812
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SARAH ROSSO
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Credential |
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Telephone | 412-973-5053
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health 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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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