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General NPI Number Information
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NPI Number | 1316935059
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Entity Type | Individual
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Provider Name | CARRIE ANN CADWELL PSY.D.,HSPP
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Gender | Female
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 310 N MICHIGAN ST SUITE 204
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City | PLYMOUTH
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State | IN
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Zip | 46563-1770
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Country | US
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Telephone | 574-936-3031
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Fax | 574-936-3031
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Provider Business Mailing Address
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Address Line | 15050 BAINBRIDGE CT
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City | WESTFIELD
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State | IN
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Zip | 46074-8871
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Country | US
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Telephone | 574-485-4583
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20042025A
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License Number State | IN
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