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General NPI Number Information
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NPI Number | 1689642522
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Entity Type | Individual
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Provider Name | DAVID L CHIARELLA PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 500 GYPSY LN
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1315
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Country | US
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Telephone | 330-884-3167
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Fax | 330-884-0636
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Provider Business Mailing Address
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Address Line | 2985 FOSTER DR NE
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City | WARREN
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State | OH
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Zip | 44483-5641
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Country | US
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Telephone | 330-372-2389
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4187
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License Number State | OH
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