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General NPI Number Information
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NPI Number | 1841904083
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Entity Type | Individual
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Provider Name | BENJAMIN CHANDLER LPCC
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Gender | Male
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 601 CLEVELAND AVE NW
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City | CANTON
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State | OH
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Zip | 44702-1836
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Country | US
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Telephone | 330-453-8252
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Fax | 330-452-4655
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Provider Business Mailing Address
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Address Line | 625 CLEVELAND AVE NW
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City | CANTON
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State | OH
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Zip | 44702-1805
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Country | US
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Telephone | 330-455-0374
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Fax | 330-453-6716
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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.2505850
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License Number State | OH
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