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General NPI Number Information
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NPI Number | 1245424704
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Entity Type | Organization
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Legal Business Name | CAROLYN G. MAURER, PHD,LPC,LMFT, PC
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 09/02/2008
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Provider Practice Location Address
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Address Line | 555 REPUBLIC DR STE. 200
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City | PLANO
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State | TX
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Zip | 75074-5481
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Country | US
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Telephone | 972-867-2145
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Fax | 972-516-4207
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Provider Business Mailing Address
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Address Line | 555 REPUBLIC DR STE. 200
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City | PLANO
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State | TX
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Zip | 75074-5481
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Country | US
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Telephone | 972-867-2145
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Fax | 972-516-4207
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Authorized Official
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Title or Position | PRES/OWNER
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Name | DR. CAROLYN G. MAURER
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Credential | PHD
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Telephone | 972-867-2145
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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 |
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License Number State |
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