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General NPI Number Information
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NPI Number | 1245697945
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Entity Type | Organization
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Legal Business Name | CAROLYN FLOOD AND ASSOC LLC
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 01/26/2016
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Provider Practice Location Address
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Address Line | 30 S VALLEY RD
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City | PAOLI
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State | PA
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Zip | 19301-1450
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Country | US
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Telephone | 610-304-4296
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Fax |
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Provider Business Mailing Address
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Address Line | 30 S VALLEY RD
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City | PAOLI
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State | PA
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Zip | 19301-1450
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Country | US
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Telephone | 610-304-4296
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROLYN FLOOD
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Credential | LPC
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Telephone | 610-304-4296
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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 | PC006364
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License Number State | PA
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