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General NPI Number Information
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NPI Number | 1063393296
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Entity Type | Individual
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Provider Name | ERICA RENEE KEGLEY
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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 | 34 WOODLAWN AVE
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City | NORWALK
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State | OH
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Zip | 44857-2236
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Country | US
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Telephone | 567-560-3587
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Fax |
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Provider Business Mailing Address
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Address Line | 85 RENFREW DR
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City | SHELBY
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State | OH
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Zip | 44875-1821
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Country | US
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Telephone |
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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 |
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License Number State | OH
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