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General NPI Number Information
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NPI Number | 1295386464
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Entity Type | Individual
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Provider Name | CARRIE DAWN GEORGE BS, MSCJ, MAC, LPC
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Gender | Female
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 4653 E MAIN ST
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City | WHITEHALL
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State | OH
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Zip | 43213-3298
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Country | US
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Telephone | 380-235-9078
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Fax |
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Provider Business Mailing Address
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Address Line | 4812 BRIXSTON DR
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City | HILLIARD
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State | OH
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Zip | 43026-8522
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Country | US
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Telephone | 380-235-9078
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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 | C.2405724
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.2405724
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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