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General NPI Number Information
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NPI Number | 1275744906
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Entity Type | Individual
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Provider Name | CAREN J. FORESTANDI MA, LPC, CAC-S
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2000 FOUNDATION WAY SUITE 3500
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City | MARTINSBURG
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State | WV
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Zip | 25401-9003
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Country | US
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Telephone | 304-264-1442
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Fax | 304-264-4317
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Provider Business Mailing Address
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Address Line | PO BOX 4056
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City | MARTINSBURG
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State | WV
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Zip | 25402-4056
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Country | US
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Telephone | 304-264-1442
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Fax | 304-264-4317
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | WV1205
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License Number State | WV
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