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General NPI Number Information
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NPI Number | 1003441999
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Entity Type | Individual
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Provider Name | DARRYLYN CHYRESS LOCKHART LPC
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Gender | Female
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 4115 BRIDGE AVE
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City | CLEVELAND
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State | OH
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Zip | 44113-3304
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Country | US
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Telephone | 216-570-4275
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Fax |
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Provider Business Mailing Address
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Address Line | 447 CARY JAY BLVD
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-1727
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Country | US
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Telephone | 216-210-3718
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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 | E.2303396
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License Number State | OH
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