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NPI Code Detail

MEDICARE: ERICH DUMBECK PCC-S

MEDICARE: ERICH DUMBECK PCC-S
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
1101YP2500XProfessional CounselorE. 0008444OH

General Provider Information

NPI Number : 1649639840
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICH DUMBECK PCC-S
Provider Business Mailing Address
First Line : 2775 STATE ROUTE 39
Second Line :
City : SHELBY
State : OH
Zip : 44875-9466
Country : US
Telephone Number : 419-577-5394
Fax Number :
Provider Business Practice Location Address
First Line : 2775 STATE ROUTE 39
Second Line :
City : SHELBY
State : OH
Zip : 44875-9466
Country : US
Telephone Number : 419-577-5394
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2016
Last Update Date : 02/16/2016

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Directions to “ ERICH DUMBECK PCC-S” Practice Location

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