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General NPI Number Information
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NPI Number | 1063566230
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Entity Type | Individual
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Provider Name | CAROL LOUISE DELLINGER LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 245 NE 30 RD
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City | GREAT BEND
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State | KS
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Zip | 67530-9251
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Country | US
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Telephone | 620-792-9295
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Fax | 620-792-3238
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Provider Business Mailing Address
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Address Line | 3208 MAIN ST # 4
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City | GREAT BEND
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State | KS
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Zip | 67530-6727
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Country | US
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Telephone | 620-792-5090
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 027
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License Number State | KS
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