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General NPI Number Information
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NPI Number | 1376566463
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Entity Type | Individual
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Provider Name | CAROLE PARENT LPC
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6 MOON CANYON
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City | BISBEE
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State | AZ
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Zip | 85603-2236
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Country | US
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Telephone | 520-432-7150
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1236 6 MOON CANYON
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City | BISBEE
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State | AZ
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Zip | 85603-2236
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Country | US
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Telephone | 520-432-7150
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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 | CC 0669
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License Number State | AZ
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