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General NPI Number Information
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NPI Number | 1225754161
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Entity Type | Individual
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Provider Name | WANTING ZHAO
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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 | 09/18/2025
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Provider Practice Location Address
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Address Line | 6140 S BROADWAY
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City | LORAIN
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State | OH
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Zip | 44053-3891
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Country | US
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Telephone | 440-233-7232
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Fax | 440-282-4779
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Provider Business Mailing Address
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Address Line | 6140 S BROADWAY
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City | LORAIN
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State | OH
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Zip | 44053-3891
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Country | US
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Telephone | 440-233-7232
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Fax | 440-282-4779
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.2305258
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LICDC.162787
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License Number State | OH
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