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NPI Code Detail

MEDICARE: RHODA S ELIGATOR L.C.S.W.

MEDICARE: RHODA S ELIGATOR L.C.S.W.
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
11041C0700XClinical Social WorkerCW002193PA
2104100000XSocial WorkerCW002193PA

General Provider Information

NPI Number : 1467450197
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHODA S ELIGATOR L.C.S.W.
Provider Business Mailing Address
First Line : 160 SOUTHERN AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15211-1910
Country : US
Telephone Number : 412-431-0711
Fax Number : 412-431-0732
Provider Business Practice Location Address
First Line : 160 SOUTHERN AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15211-1910
Country : US
Telephone Number : 412-431-0711
Fax Number : 412-431-0732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 11/23/2010

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Directions to “ RHODA S ELIGATOR L.C.S.W.” Practice Location

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