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NPI 1649679200

NPI 1649679200 : JAMIE BIECHELER PSY.S. : FREMONT, OH

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General NPI Number Information
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    NPI Number           |    1649679200
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    Entity Type          |    Individual 
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    Provider Name        |    JAMIE BIECHELER PSY.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/20/2014
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    Last Update Date     |    08/20/2014
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Provider Practice Location Address
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    Address Line         |    500 W STATE ST STE A 
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    City                 |    FREMONT
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    State                |    OH
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    Zip                  |    43420-2580
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    Country              |    US
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    Telephone            |    419-334-6731
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    607 E BOGART RD 
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    City                 |    SANDUSKY
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    State                |    OH
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    Zip                  |    44870-6405
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    Country              |    US
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    Telephone            |    419-366-1363
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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        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    OH3058639
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    License Number State |    OH
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