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NPI Code Detail

MEDICARE: CHANTE A FAULK LSW

MEDICARE: CHANTE A FAULK LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerSW128789PA

General Provider Information

NPI Number : 1346527702
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANTE A FAULK LSW
Provider Business Mailing Address
First Line : 333 N BRADDOCK AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15208-2512
Country : US
Telephone Number : 412-677-8329
Fax Number :
Provider Business Practice Location Address
First Line : 333 N BRADDOCK AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15208-2512
Country : US
Telephone Number : 412-677-8329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2011
Last Update Date : 11/12/2011

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Directions to “ CHANTE A FAULK LSW” Practice Location

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