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NPI 1982707352

NPI 1982707352 : ROBERT DONALD WADDINGTON MSW : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1982707352
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT DONALD WADDINGTON MSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/07/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    UNIVERSITY DRIVE C 131-A
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15240-1001
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    Country              |    US
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    Telephone            |    412-784-3716
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    Fax                  |    412-784-3724
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Provider Business Mailing Address
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    Address Line         |    3342 W STATE ST 
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    City                 |    NEW CASTLE
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    State                |    PA
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    Zip                  |    16101-7704
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    Country              |    US
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    Telephone            |    724-658-1270
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    Fax                  |    724-658-1270
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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       |    CW000605L
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    License Number State |    PA
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