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General NPI Number Information
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NPI Number | 1285525451
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Entity Type | Individual
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Provider Name | MONIQUE SMITH M.ED, LPC
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Gender | Female
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1608 PORTAGE TRL
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223-2109
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Country | US
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Telephone | 234-571-4046
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Fax |
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Provider Business Mailing Address
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Address Line | 713 CUYAHOGA ST
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City | KENT
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State | OH
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Zip | 44240-2123
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Country | US
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Telephone | 619-677-7483
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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 | C.2507164
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License Number State | OH
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