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General NPI Number Information
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NPI Number | 1548064678
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Entity Type | Individual
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Provider Name | JAMIE WOSSILEK
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Gender | Female
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1037 N MAIN ST STE A
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City | AKRON
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State | OH
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Zip | 44310-1453
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Country | US
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Telephone | 330-800-1660
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Fax | 330-800-1661
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Provider Business Mailing Address
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Address Line | 1041 TALL GRASS CIR APT 210
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City | STOW
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State | OH
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Zip | 44224-6915
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Country | US
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Telephone | 440-396-3131
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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.0038070
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License Number State | OH
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