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NPI Code Detail

MEDICARE: ELIZABETH PAHL

MEDICARE:   ELIZABETH  PAHL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1174176267
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH PAHL
Provider Business Mailing Address
First Line : 316 N MICHIGAN ST STE 914
Second Line :
City : TOLEDO
State : OH
Zip : 43604-5665
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 316 N MICHIGAN ST STE 914
Second Line :
City : TOLEDO
State : OH
Zip : 43604-5665
Country : US
Telephone Number : 419-249-9405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2019
Last Update Date : 07/18/2019

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Directions to “ ELIZABETH PAHL ” Practice Location

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