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General NPI Number Information
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NPI Number | 1821370115
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Entity Type | Individual
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Provider Name | JOHN EDWARD STERBA MA, CRC, PCC
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Gender | Male
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 73 COGSWELL CT
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City | WESTERVILLE
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State | OH
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Zip | 43081-1232
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Country | US
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Telephone | 614-890-5467
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Fax | 614-890-4340
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Provider Business Mailing Address
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Address Line | 73 COGSWELL CT
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City | WESTERVILLE
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State | OH
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Zip | 43081-1232
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Country | US
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Telephone | 614-890-5467
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Fax | 614-890-4340
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E0000484
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License Number State | OH
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