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General NPI Number Information
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NPI Number | 1295803476
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Entity Type | Individual
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Provider Name | NICOLE S WAGNER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 29525 CHAGRIN BLVD STE 313
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-548-5469
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Fax |
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Provider Business Mailing Address
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Address Line | 26047 BYRON DR
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-1913
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Country | US
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Telephone | 216-548-5469
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6025
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License Number State | OH
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