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General NPI Number Information
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NPI Number | 1144379405
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Entity Type | Individual
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Provider Name | KAREN HASTINGS MCGROERTY LPCMH
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12649 DUPONT BLVD
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City | ELLENDALE
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State | DE
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Zip | 19941-3307
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Country | US
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Telephone | 302-422-1530
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Fax | 302-422-1534
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Provider Business Mailing Address
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Address Line | 110 N PINE ST
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City | SEAFORD
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State | DE
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Zip | 19973-3320
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Country | US
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Telephone | 302-629-8294
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Fax | 302-628-1711
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC0000374
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License Number State | DE
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