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General NPI Number Information
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NPI Number | 1811455256
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Entity Type | Individual
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Provider Name | WILLIAM DICKEY III LPCC
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Gender | Male
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 1716 NORTH RD SE
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City | WARREN
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State | OH
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Zip | 44484-2907
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Country | US
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Telephone | 330-539-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 7051 WEST BLVD APT 18
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-4305
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.2404367
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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