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General NPI Number Information
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NPI Number | 1548860919
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Entity Type | Individual
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Provider Name | JULIE HOSTETLER
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Gender | Female
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 3883 BURBANK RD
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City | WOOSTER
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State | OH
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Zip | 44691-7220
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Country | US
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Telephone | 330-345-8820
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Fax | 330-345-2415
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Provider Business Mailing Address
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Address Line | 13663 SEBE DR
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City | MARSHALLVILLE
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State | OH
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Zip | 44645-9767
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Country | US
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Telephone | 330-988-0616
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03-1-19192
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License Number State | OH
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