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General NPI Number Information
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NPI Number | 1073593414
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Entity Type | Individual
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Provider Name | NANCY A CARPER LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 1405 N MAIN ST
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City | PRINCETON
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State | IL
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Zip | 61356-9771
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Country | US
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Telephone | 815-872-2100
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Fax | 363-242-3128
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Provider Business Mailing Address
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Address Line | PO BOX 361
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City | CLINTON
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State | IA
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Zip | 52733-0361
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Country | US
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Telephone | 563-242-5316
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Fax | 563-242-3128
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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 |
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License Number State | IL
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