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General NPI Number Information
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NPI Number | 1538000948
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Entity Type | Individual
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Provider Name | MR. JOEL D SCILZO
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Gender | Male
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 3101 W ELM ST
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City | LIMA
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State | OH
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Zip | 45805-2557
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Country | US
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Telephone | 419-673-7754
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Fax |
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Provider Business Mailing Address
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Address Line | 5660 MONROE ST STE 9
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City | SYLVANIA
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State | OH
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Zip | 43560-2700
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Country | US
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Telephone | 567-429-9868
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0041713
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License Number State | OH
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