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General NPI Number Information
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NPI Number | 1306060868
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Entity Type | Individual
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Provider Name | STACIA ANN CARONE LPC
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Gender | Female
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | INDIANA UNIVERSITY OF PENNSYLVANIA 206 STOUFFER HALL
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City | INDIANA
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State | PA
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Zip | 15705-0001
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Country | US
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Telephone | 724-357-3806
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Fax |
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Provider Business Mailing Address
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Address Line | 129 EASTWOOD CT
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City | INDIANA
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State | PA
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Zip | 15701-2488
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Country | US
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Telephone | 724-349-2030
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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 | 003395
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License Number State | PA
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