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General NPI Number Information
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NPI Number | 1285464511
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Entity Type | Organization
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Legal Business Name | CARRIE'S COMPASSION CORNER PLLC
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Dates
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Enumeration Date | 08/02/2024
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 1178 BROADWAY FL 3
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City | NEW YORK
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State | NY
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Zip | 10001-5666
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Country | US
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Telephone | 703-337-3956
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Fax |
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Provider Business Mailing Address
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Address Line | 1019B EDWARDS FERRY RD NE # 1153
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City | LEESBURG
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State | VA
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Zip | 20176-3347
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | CARRIE ANN NELSON
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Credential | LCSW
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Telephone | 703-337-3956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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