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General NPI Number Information
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NPI Number | 1235471053
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Entity Type | Individual
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Provider Name | MONICA SUE SLOVAK
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Gender | Female
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 900 W SOUTH BOUNDARY ST BUILDING 2, SUITE B
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City | PERRYSBURG
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State | OH
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Zip | 43551-5230
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Country | US
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Telephone | 419-873-8280
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Fax |
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Provider Business Mailing Address
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Address Line | 25446 RAMBLEHURST DR
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City | PERRYSBURG
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State | OH
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Zip | 43551-6721
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | I.1201390
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License Number State | OH
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