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General NPI Number Information
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NPI Number | 1982907341
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Entity Type | Individual
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Provider Name | REBECCA MARIE MACKIN LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/07/2010
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Last Update Date | 04/30/2015
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Provider Practice Location Address
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Address Line | 200 CEDAR RIDGE DR SUITE 208
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City | PITTSBURGH
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State | PA
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Zip | 15205-9691
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Country | US
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Telephone | 412-921-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 5010 OAK POINT DR
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City | MC KEES ROCKS
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State | PA
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Zip | 15136-1581
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Country | US
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Telephone | 412-721-7523
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Fax | 412-721-7523
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW127719
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW018373
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License Number State | PA
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