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General NPI Number Information
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NPI Number | 1932080157
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Entity Type | Individual
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Provider Name | JENNA A KROLIKOWSKI
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Gender | Female
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 9150 LAKE SHORE BLVD
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City | MENTOR
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State | OH
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Zip | 44060-1672
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Country | US
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Telephone | 440-701-4560
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Fax |
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Provider Business Mailing Address
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Address Line | 31504 DOUGLAS DR
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City | WILLOWICK
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State | OH
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Zip | 44095-4323
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Country | US
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Telephone | 440-856-6829
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 013465
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License Number State | OH
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