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General NPI Number Information
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NPI Number | 1902895105
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Entity Type | Individual
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Provider Name | MARISA WOJCIK
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Gender | Female
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 02/01/2016
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Provider Practice Location Address
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Address Line | 544 E WOODRUFF AVE
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City | TOLEDO
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State | OH
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Zip | 43624-1342
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Country | US
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Telephone | 419-693-0631
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Fax | 419-936-7606
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Provider Business Mailing Address
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Address Line | 6605W CENTRAL AVE
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City | TOLEDO
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State | OH
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Zip | 43617-1000
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Country | US
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Telephone | 419-841-7701
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I0009539
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License Number State | OH
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