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General NPI Number Information
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NPI Number | 1053747535
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Entity Type | Organization
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Legal Business Name | KAREN MACKE MA, LPC-S, PLLC
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Dates
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Enumeration Date | 09/17/2013
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Last Update Date | 09/17/2013
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Provider Practice Location Address
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Address Line | 451 BOUNDARY ST
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City | WAYNESVILLE
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State | NC
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Zip | 28786-3096
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Country | US
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Telephone | 828-400-3772
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Fax | 888-522-1120
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Provider Business Mailing Address
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Address Line | 563 N MAIN ST
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City | WAYNESVILLE
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State | NC
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Zip | 28786-3817
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Country | US
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Telephone | 828-400-3772
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Fax | 888-522-1120
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MS. KAREN ANN MACKE I
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Credential | LPC-S
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Telephone | 828-400-3772
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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-S7429
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License Number State | NC
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