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General NPI Number Information
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NPI Number | 1801965181
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH POLLAK PCC,LICDC
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2770 SOM CENTER RD
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City | WILLOUGHBY
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State | OH
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Zip | 44094-9111
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Country | US
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Telephone | 440-516-1350
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Fax | 440-944-7330
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Provider Business Mailing Address
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Address Line | 36042 MEADOWDALE DR
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City | SOLON
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State | OH
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Zip | 44139
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Country | US
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Telephone | 440-349-7787
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E4331
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License Number State | OH
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