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General NPI Number Information
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NPI Number | 1972017697
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Entity Type | Individual
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Provider Name | MR. MELVIN DENNIS TRENT SR.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2017
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Last Update Date | 11/17/2017
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Provider Practice Location Address
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Address Line | 2007 S SCHENLEY AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44511-1262
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Country | US
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Telephone | 330-770-8494
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Fax |
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Provider Business Mailing Address
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Address Line | 3995 MONTEREALE DR
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City | CANFIELD
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State | OH
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Zip | 44406-8085
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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