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General NPI Number Information
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NPI Number | 1679139158
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Entity Type | Individual
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Provider Name | LYDIA H DENNIN LSW
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Gender | Female
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Dates
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Enumeration Date | 05/10/2019
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 2000 NOBLE DR
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City | WOOSTER
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State | OH
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Zip | 44691-5353
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Country | US
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Telephone | 330-264-3232
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 NOBLE DR
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City | WOOSTER
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State | OH
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Zip | 44691-5353
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Country | US
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Telephone | 330-264-3232
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2005583
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CDCA.170287
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License Number State | OH
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