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General NPI Number Information
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NPI Number | 1184007429
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Entity Type | Individual
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Provider Name | CIARA DENNIS
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Gender | Female
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Dates
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Enumeration Date | 07/06/2015
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 1293 COPLEY RD
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City | AKRON
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State | OH
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Zip | 44320-2766
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Country | US
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Telephone | 330-374-1199
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Fax |
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Provider Business Mailing Address
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Address Line | 508 MISTY LN
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City | COPLEY
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State | OH
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Zip | 44321-3032
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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 | E.0900520-SUPV
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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 | E.0900520-SUPV
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.0900520
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License Number State | OH
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