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General NPI Number Information
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NPI Number | 1477057388
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Entity Type | Individual
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Provider Name | THOMAS ROSS DEWEY LPCC
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Gender | Male
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 4531 BELMONT AVE STE 9
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1041
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Country | US
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Telephone | 330-759-5270
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Fax |
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Provider Business Mailing Address
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Address Line | 1064 PALLETTE DR NE
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City | WARREN
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State | OH
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Zip | 44484-1726
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Country | US
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Telephone | 330-974-8114
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.1800900
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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.2001770
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License Number State | OH
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