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General NPI Number Information
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NPI Number | 1679073670
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Entity Type | Individual
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Provider Name | BETSY J COY
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Gender | Female
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Dates
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Enumeration Date | 02/15/2018
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 10216B CLEVELAND AVE NW
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City | UNIONTOWN
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State | OH
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Zip | 44685-9411
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Country | US
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Telephone | 330-305-9100
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Fax | 330-305-9103
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Provider Business Mailing Address
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Address Line | 10216B CLEVELAND AVE NW
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City | UNIONTOWN
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State | OH
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Zip | 44685-9411
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Country | US
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Telephone | 330-305-9100
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Fax | 330-305-9103
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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 | E.1901475
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.1901475
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License Number State | OH
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Legacy Identifiers
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Identifier #1
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Identifier Code | 0233251
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Identifier Type | MEDICAID
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Identifier State | OH
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Identifier Issuer |
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Identifier #2
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Identifier Code | 0376547
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Identifier Type | MEDICAID
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Identifier State | OH
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Identifier Issuer |
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Identifier #3
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Identifier Code | 78797000
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Identifier Type | OTHER
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Identifier State | OH
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Identifier Issuer | OHIO ID
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 0233251
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Identifier Type | MEDICAID
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Identifier State | OH
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Identifier Issuer |
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Identifier #2
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Identifier Code | 0376547
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Identifier Type | MEDICAID
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Identifier State | OH
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Identifier Issuer |
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Identifier #3
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Identifier Code | 78797000
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Identifier Type | OTHER
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Identifier State | OH
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Identifier Issuer | OHIO ID
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