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General NPI Number Information
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NPI Number | 1619236155
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Entity Type | Individual
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Provider Name | CHERYL MARIA PELKA M.ED,LSW,PCC-S
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Gender | Female
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 303 E BAGLEY RD
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City | BEREA
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State | OH
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Zip | 44017-2040
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Country | US
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Telephone | 440-260-8366
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Fax | 440-260-8390
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Provider Business Mailing Address
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Address Line | 303 E BAGLEY RD
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City | BEREA
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State | OH
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Zip | 44017-2040
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Country | US
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Telephone | 440-260-8366
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Fax | 440-260-8390
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E0004854
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License Number State | OH
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