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General NPI Number Information
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NPI Number | 1518025170
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Entity Type | Organization
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Legal Business Name | PERKINS SQUARE HEALTH SERVICES INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 93 WEST EXCHANGE STREET
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City | AKRON
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State | OH
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Zip | 44308-1040
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Country | US
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Telephone | 330-762-7248
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Fax | 330-762-0665
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Provider Business Mailing Address
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Address Line | 93 WEST EXCHANGE STREET
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City | AKRON
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State | OH
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Zip | 44308-1040
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Country | US
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Telephone | 330-762-7248
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Fax | 330-762-0665
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. BEVERLY J DEARTH
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Credential | PSYCHOLOGIST
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Telephone | 330-762-7250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1131
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35037421
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License Number State | OH
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