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General NPI Number Information
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NPI Number | 1144492315
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Entity Type | Individual
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Provider Name | MICHAEL JARECKI LMHP
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Gender | Male
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 03/28/2008
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Provider Practice Location Address
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Address Line | 234 SAINT JOSEPH DR
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City | STEUBENVILLE
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State | OH
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Zip | 43952-7988
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Country | US
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Telephone | 740-266-6461
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Fax |
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Provider Business Mailing Address
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Address Line | 5314 READ ST
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City | OMAHA
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State | NE
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Zip | 68152-2445
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Country | US
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Telephone | 402-573-1063
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1460
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1327
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License Number State | NE
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