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General NPI Number Information
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NPI Number | 1083109003
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Entity Type | Individual
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Provider Name | DELORES LIVINGSTON L.P.C., L.S.W
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Gender | Female
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Dates
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Enumeration Date | 06/22/2018
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Last Update Date | 09/20/2019
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Provider Practice Location Address
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Address Line | 501 WASHINGTON ST STE 205
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2185
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Country | US
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Telephone | 740-381-6758
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Fax | 740-381-6052
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Provider Business Mailing Address
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Address Line | PO BOX 2561
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City | WINTERSVILLE
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State | OH
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Zip | 43953-0561
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Country | US
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Telephone | 740-381-6758
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Fax | 740-381-6052
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C1400074
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S7605
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.1901417
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License Number State | OH
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