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General NPI Number Information
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NPI Number | 1083330062
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Entity Type | Individual
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Provider Name | ELIZABETH MARIE APAZELLER M.ED, CRC, WIP-C
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Gender | Female
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 2738 GULFSTREAM CIR
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City | STOW
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State | OH
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Zip | 44224-6206
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Country | US
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Telephone | 330-203-0239
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 354
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City | MUNROE FALLS
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State | OH
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Zip | 44262-0354
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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 | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 368277
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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