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General NPI Number Information
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NPI Number | 1447062872
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Entity Type | Individual
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Provider Name | AMANDA WOZNIAK LPC
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Gender | Female
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 15887 SNOW RD STE 301
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City | BROOKPARK
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State | OH
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Zip | 44142-2854
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Country | US
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Telephone | 216-714-3128
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Fax |
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Provider Business Mailing Address
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Address Line | 5728 WELLESLEY AVE
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3956
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Country | US
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Telephone | 716-481-5030
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.188909
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License Number State | OH
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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 | C.2506738
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License Number State | OH
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