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General NPI Number Information
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NPI Number | 1356268460
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Entity Type | Organization
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Legal Business Name | YOUNG CHRISTIAN PROFESSIONALS
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 120 CLEVELAND AVE SW
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City | CANTON
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State | OH
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Zip | 44702-1904
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Country | US
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Telephone | 234-214-3534
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Fax | 800-212-5879
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Provider Business Mailing Address
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Address Line | 120 CLEVELAND AVE SW
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City | CANTON
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State | OH
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Zip | 44702-1904
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Country | US
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Telephone | 234-214-3534
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Fax | 800-212-5879
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | NICOLE DICKSON
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Credential |
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Telephone | 330-605-5060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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