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General NPI Number Information
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NPI Number | 1780238071
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Entity Type | Individual
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Provider Name | DIVYA HITESH THAKKAR
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Gender | Female
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 87 N CANTON RD
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City | AKRON
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State | OH
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Zip | 44305-3838
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Country | US
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Telephone | 330-733-7993
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Fax |
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Provider Business Mailing Address
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Address Line | 1662 LOBLOLLY CT APT 147
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City | KENT
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State | OH
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Zip | 44240-7636
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Country | US
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Telephone | 917-306-6602
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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