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General NPI Number Information
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NPI Number | 1033150628
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Entity Type | Individual
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Provider Name | CARYN MARIE COONS LPC-S
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 1041 OLD OCEAN HWY
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City | BOLIVIA
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State | NC
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Zip | 28422-8584
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Country | US
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Telephone | 910-754-7908
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Fax | 910-799-3313
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Provider Business Mailing Address
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Address Line | 610 S COLLEGE RD
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City | WILMINGTON
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State | NC
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Zip | 28403-3202
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Country | US
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Telephone | 910-799-1071
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Fax | 910-799-3313
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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 | LPC 3338
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC 3445
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License Number State | NC
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