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General NPI Number Information
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NPI Number | 1598143760
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Entity Type | Individual
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Provider Name | JESSICA VOLCIAK
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Gender | Female
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Dates
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Enumeration Date | 05/08/2015
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 9501 UNION CEMETERY RD
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City | LOVELAND
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State | OH
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Zip | 45140-9686
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Country | US
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Telephone | 513-512-5818
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Fax |
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Provider Business Mailing Address
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Address Line | 515 ELM ST
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City | SLIPPERY ROCK
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State | PA
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Zip | 16057-1530
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Country | US
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Telephone | 484-326-6853
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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