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General NPI Number Information
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NPI Number | 1922949247
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Entity Type | Individual
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Provider Name | BEVERLY VANDYKE LPC
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Gender | Female
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 1207 W STATE ST STE H
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City | ALLIANCE
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State | OH
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Zip | 44601-4686
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Country | US
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Telephone | 330-798-0491
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Fax | 330-303-4948
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Provider Business Mailing Address
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Address Line | PO BOX 3702
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City | YOUNGSTOWN
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State | OH
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Zip | 44513-3702
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Country | US
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Telephone | 330-798-0491
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Fax | 330-303-4948
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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 | C.2406050
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License Number State | OH
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