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General NPI Number Information
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NPI Number | 1316263437
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Entity Type | Individual
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Provider Name | ERIKA A KOSWATTA M.ED
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Gender | Female
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Dates
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Enumeration Date | 04/14/2010
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 39005 LOCHMOOR DR
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City | SOLON
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State | OH
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Zip | 44139-5910
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Country | US
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Telephone | 216-990-3401
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Fax | 440-498-1631
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Provider Business Mailing Address
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Address Line | 39005 LOCHMOOR DR
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City | SOLON
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State | OH
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Zip | 44139-5910
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Country | US
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Telephone | 216-990-3401
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Fax | 440-498-1631
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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 | S.0014041
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 00050235
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License Number State | OH
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