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General NPI Number Information
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NPI Number | 1881170470
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Entity Type | Individual
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Provider Name | JUSTINA GAZSO
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Gender | Female
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 2671 YOUNGSTOWN RD SE
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City | WARREN
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State | OH
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Zip | 44484-4404
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Country | US
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Telephone | 330-469-9743
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Fax | 330-306-6916
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Provider Business Mailing Address
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Address Line | 213 KENMORE AVE NE
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City | WARREN
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State | OH
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Zip | 44483-5515
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Country | US
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Telephone | 330-979-7726
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.2505552
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License Number State | OH
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