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General NPI Number Information
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NPI Number | 1235154071
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Entity Type | Organization
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Legal Business Name | WARREN PSYCHIATRIC CONSULTANTS INC
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 4505 LOGAN WAY
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City | HUBBARD
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State | OH
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Zip | 44425-3311
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Country | US
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Telephone | 330-259-3664
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Fax | 330-259-3665
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Provider Business Mailing Address
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Address Line | 4505 LOGAN WAY
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City | HUBBARD
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State | OH
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Zip | 44425-3311
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Country | US
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Telephone | 330-259-3664
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Fax | 330-259-3665
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. DHARL CHINTAN
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Credential | LSW
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Telephone | 330-716-5144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | OH
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