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General NPI Number Information
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NPI Number | 1790286052
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Entity Type | Individual
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Provider Name | RENEE BETH PLYLER LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 3910 CAUGHEY RD STE 200
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City | ERIE
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State | PA
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Zip | 16506-4098
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Country | US
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Telephone | 814-460-9966
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Fax |
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Provider Business Mailing Address
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Address Line | 460 LEDWICK DR
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City | ERIE
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State | PA
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Zip | 16511-2622
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Country | US
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Telephone | 814-460-9966
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CW026588
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License Number State | PA
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