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General NPI Number Information
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NPI Number | 1023351038
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Entity Type | Individual
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Provider Name | ALOYS KAMWITHI LPC
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Gender | Male
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | 270 STERKEL BLVD
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City | MANSFIELD
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State | OH
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Zip | 44907-1508
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Country | US
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Telephone | 419-756-1133
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Fax | 419-756-7456
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Provider Business Mailing Address
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Address Line | 3361 TUCKER RD
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City | LUCAS
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State | OH
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Zip | 44843-9749
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Country | US
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Telephone |
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.0500280
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License Number State | OH
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