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General NPI Number Information
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NPI Number | 1477645091
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Entity Type | Individual
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Provider Name | JOHN ARTHUR JARMOLOWICZ LMSW
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 217 E SANILAC RD SUITE 1
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City | SANDUSKY
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State | MI
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Zip | 48471-1383
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Country | US
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Telephone | 810-583-0387
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Fax | 810-648-5833
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Provider Business Mailing Address
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Address Line | 4150 MILLS RD
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City | DECKERVILLE
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State | MI
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Zip | 48427-9390
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Country | US
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Telephone | 810-376-4545
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801035004
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License Number State | MI
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