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General NPI Number Information
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NPI Number | 1912450701
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Entity Type | Individual
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Provider Name | JOSHUA HARTZLER MA, LPCC
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Gender | Male
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 509 S OTTERBEIN AVE STE 11
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City | WESTERVILLE
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State | OH
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Zip | 43081-2951
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Country | US
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Telephone | 614-266-0503
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Fax |
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Provider Business Mailing Address
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Address Line | 4044 CHAPRA DR
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City | WILMINGTON
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State | NC
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Zip | 28412-2027
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Country | US
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Telephone | 614-266-0503
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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 | E1600023
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E1600023
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License Number State | OH
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