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General NPI Number Information
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NPI Number | 1952886418
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Entity Type | Individual
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Provider Name | JARROD BRANDON PYLE LICDC, LPC
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Gender | Male
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Dates
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Enumeration Date | 10/01/2018
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 4429 FULTON DR NW
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City | CANTON
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State | OH
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Zip | 44718-2867
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Country | US
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Telephone | 330-778-2919
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Fax |
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Provider Business Mailing Address
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Address Line | 3208 SUFFOLK ST NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-9707
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Country | US
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Telephone | 330-356-4326
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LICDC.162722
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.2406540
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License Number State | OH
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