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General NPI Number Information
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NPI Number | 1861726739
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Entity Type | Individual
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Provider Name | BRITHANY PAWLOSKI PSY.D
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Gender | Female
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Dates
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Enumeration Date | 09/25/2009
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 5465 MAIN ST
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City | SYLVANIA
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State | OH
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Zip | 43560-2155
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Country | US
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Telephone | 419-885-8800
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Fax | 419-885-8600
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Provider Business Mailing Address
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Address Line | 10344 OBEE RD
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City | WHITEHOUSE
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State | OH
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Zip | 43571-9672
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Country | US
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Telephone | 419-345-0204
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6582
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License Number State | OH
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