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General NPI Number Information
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NPI Number | 1780004390
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Entity Type | Individual
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Provider Name | DR. JULIE WOJCIK
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Gender | Female
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 1440 LAKESIDE AVE E
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City | CLEVELAND
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State | OH
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Zip | 44114-1137
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Country | US
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Telephone | 216-523-8498
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Fax |
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Provider Business Mailing Address
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Address Line | 9585 HICKORY HILL DR
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City | TWINSBURG
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State | OH
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Zip | 44087-1546
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Country | US
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Telephone |
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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 | OH300644
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License Number State | OH
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