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General NPI Number Information
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NPI Number | 1356876098
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Entity Type | Organization
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Legal Business Name | SUZANNE PATRICIA CARLIN, LPC
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 3 BANSHA DR
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-8700
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Country | US
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Telephone | 828-216-7692
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Fax |
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Provider Business Mailing Address
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Address Line | 3 BANSHA DR
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-8700
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Country | US
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Telephone | 828-216-7692
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. SUZANNE PATRICIA CARLIN
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Credential | LPC
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Telephone | 828-216-7692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 5568
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License Number State | NC
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