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General NPI Number Information
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NPI Number | 1194283556
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Entity Type | Organization
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Legal Business Name | CARRIE M. HEUSER, INC
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 03/05/2019
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Provider Practice Location Address
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Address Line | 501 WASHBURN AVE
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City | LOUISVILLE
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State | KY
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Zip | 40222-4725
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Country | US
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Telephone | 502-594-6671
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Fax | 502-653-7417
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Provider Business Mailing Address
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Address Line | 2507 OLD HICKORY RD
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City | LOUISVILLE
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State | KY
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Zip | 40299-2832
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Country | US
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Telephone | 502-594-6671
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Fax | 502-653-7417
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARRIE MELISSA HEUSER
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Credential | LCSW
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Telephone | 502-594-6671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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