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General NPI Number Information
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NPI Number | 1982646436
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Entity Type | Individual
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Provider Name | ELLEN HOOK PIETZ MSSA
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Gender | Female
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 25111 COUNTRY CLUB BLVD 290
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-5345
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Country | US
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Telephone | 440-614-2520
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Fax | 440-615-2526
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Provider Business Mailing Address
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Address Line | 24800 HIGHPOINT RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-6041
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Country | US
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Telephone | 216-831-6611
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Fax | 216-831-2726
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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 | I0002037
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License Number State | OH
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