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General NPI Number Information
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NPI Number | 1225218332
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Entity Type | Individual
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Provider Name | STACY D MCCARTY-NASH LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 1217 SCARLET CREEK DR
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City | ROSHARON
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State | TX
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Zip | 77583-4177
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Country | US
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Telephone | 281-757-7815
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Fax |
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Provider Business Mailing Address
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Address Line | 7203 LYNDAM HILL CIR
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City | LORTON
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State | VA
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Zip | 22079-4522
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Country | US
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Telephone | 281-757-7815
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717001690
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT4308
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 202125
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License Number State | TX
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