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General NPI Number Information
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NPI Number | 1386736734
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Entity Type | Individual
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Provider Name | CATHY MAE WARN M.A., LPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 7435 MONTICELLO RD SCHUSTER BUILDING, 235
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City | COLUMBIA
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State | SC
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Zip | 29230-3122
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Country | US
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Telephone | 803-622-4995
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Fax | 803-996-0540
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Provider Business Mailing Address
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Address Line | PO BOX 822
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City | LEXINGTON
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State | SC
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Zip | 29071-0822
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Country | US
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Telephone | 803-622-4995
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4755
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4508
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4535
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | SC
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