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General NPI Number Information
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NPI Number | 1134776347
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Entity Type | Individual
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Provider Name | JULIE A. SINKUC M.ED., ED.S.
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Gender | Female
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 3436 EDGEWOOD DR
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City | ASHTABULA
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State | OH
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Zip | 44004-5967
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Country | US
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Telephone | 440-998-4411
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Fax |
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Provider Business Mailing Address
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Address Line | 160 WHITE AVE
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City | SHARON
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State | PA
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Zip | 16146-3054
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Country | US
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Telephone | 724-813-5723
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 3026436
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License Number State | OH
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