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General NPI Number Information
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NPI Number | 1588107346
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Entity Type | Individual
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Provider Name | JAMES F DELUCIA JR. LPCC-S
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Gender | Male
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 01/22/2018
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Provider Practice Location Address
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Address Line | 6960 MARKET ST STE 2
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-4508
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Country | US
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Telephone | 330-333-9448
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Fax | 330-953-3302
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Provider Business Mailing Address
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Address Line | 6960 MARKET ST STE 2
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-4508
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Country | US
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Telephone | 330-333-9448
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Fax | 330-953-3302
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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 | E0600050
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License Number State | OH
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