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General NPI Number Information
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NPI Number | 1245354067
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Entity Type | Organization
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Legal Business Name | KAREN MACCAUSLAND, P.C.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 4045 N SAINT PETERS PKWY STE 108
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City | SAINT PETERS
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State | MO
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Zip | 63304-7398
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Country | US
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Telephone | 636-928-5800
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Fax | 636-441-3902
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Provider Business Mailing Address
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Address Line | 4045 N SAINT PETERS PKWY STE 108
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City | SAINT PETERS
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State | MO
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Zip | 63304-7398
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Country | US
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Telephone | 636-928-5800
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREN MACCAUSLAND
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Credential | LCSW
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Telephone | 636-928-5800
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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 | 001086
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License Number State | MO
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