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General NPI Number Information
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NPI Number | 1235610130
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Entity Type | Individual
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Provider Name | MYRON MCNAIR ED.D, MA, LISW
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Gender | Male
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 507 OAK HILL AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44502-1823
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Country | US
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Telephone | 330-233-4383
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Fax |
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Provider Business Mailing Address
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Address Line | 2344 CORONADO AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1311
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Country | US
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Telephone | 330-233-4383
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.1801156
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License Number State | OH
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