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General NPI Number Information
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NPI Number | 1033719968
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Entity Type | Individual
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Provider Name | JOSHUA RYAN HOLSOPPLE
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Gender | Male
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 6200 ROCKSIDE WOODS BLVD N STE 305
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2343
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Country | US
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Telephone | 440-520-5104
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Fax |
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Provider Business Mailing Address
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Address Line | 9348 USHER RD
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City | OLMSTED TWP
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State | OH
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Zip | 44138-2508
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Country | US
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Telephone | 440-520-5104
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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