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General NPI Number Information
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NPI Number | 1992386593
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Entity Type | Organization
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Legal Business Name | ANDREA VANESTENBERG PD.D LLC
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Dates
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Enumeration Date | 04/16/2021
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 4000 HEMPFIELD PLAZA BLVD STE 916
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City | GREENSBURG
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State | PA
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Zip | 15601-2418
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Country | US
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Telephone | 724-691-0363
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Fax | 724-237-4771
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Provider Business Mailing Address
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Address Line | 4000 HEMPFIELD PLAZA BLVD STE 916
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City | GREENSBURG
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State | PA
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Zip | 15601-2418
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Country | US
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Telephone | 724-691-0363
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Fax | 724-237-4771
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Authorized Official
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Title or Position | OWNER
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Name | ANDREA VANESTENBERG
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Credential | PHD
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Telephone | 724-691-0363
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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 |
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License Number State |
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