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General NPI Number Information
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NPI Number | 1285455519
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Entity Type | Individual
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Provider Name | CAROLYN LABENDEIRA
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Gender | Female
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Dates
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Enumeration Date | 10/19/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 1300 E SHAW AVE STE 149
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City | FRESNO
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State | CA
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Zip | 93710-7903
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Country | US
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Telephone | 559-554-9710
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Fax |
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Provider Business Mailing Address
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Address Line | 294 FILBERT AVE
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City | CLOVIS
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State | CA
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Zip | 93611-5420
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Country | US
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Telephone | 559-283-1484
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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