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General NPI Number Information
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NPI Number | 1790554871
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Entity Type | Individual
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Provider Name | KYLIE MCCARTHY LPC
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Gender | Female
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Dates
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Enumeration Date | 12/29/2023
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 34679 VINE ST
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City | WILLOWICK
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State | OH
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Zip | 44095-5119
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Country | US
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Telephone | 216-284-0463
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Fax |
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Provider Business Mailing Address
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Address Line | 1847 RED FERN DR
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City | COLUMBUS
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State | OH
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Zip | 43229-1425
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Country | US
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Telephone | 614-560-4923
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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 | C.2103265
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License Number State | OH
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