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General NPI Number Information
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NPI Number | 1124931548
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Entity Type | Individual
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Provider Name | MRS. MARJORIE PATRICIA CARLSON
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Gender | Female
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 400 PREECE WAY
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City | YREKA
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State | CA
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Zip | 96097-2456
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Country | US
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Telephone | 530-842-6151
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Fax |
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Provider Business Mailing Address
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Address Line | 1403 FLUME CT
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City | YREKA
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State | CA
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Zip | 96097-9612
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Country | US
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Telephone | 530-340-3212
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State | CA
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