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General NPI Number Information
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NPI Number | 1043614571
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Entity Type | Individual
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Provider Name | CARMEN GARRISON M.S., LPC
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Gender | Female
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 10/13/2014
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Provider Practice Location Address
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Address Line | 5531 HAMILTON BLVD UNIT # 7
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City | ALLENTOWN
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State | PA
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Zip | 18106-9102
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Country | US
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Telephone | 717-451-5983
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Fax |
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Provider Business Mailing Address
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Address Line | 560 SEEM ST
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City | EMMAUS
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State | PA
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Zip | 18049-2350
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Country | US
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Telephone | 717-451-5983
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | PC 007689
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License Number State | PA
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