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General NPI Number Information
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NPI Number | 1396178562
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Entity Type | Individual
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Provider Name | CAROLINE LOWRY HALL MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 08/12/2013
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 4467 CASCADE RD SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-3776
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Country | US
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Telephone | 616-690-7319
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Fax | 616-956-3020
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Provider Business Mailing Address
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Address Line | 4467 CASCADE RD SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-3776
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Country | US
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Telephone | 616-818-6678
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Fax | 616-956-3020
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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 | L2534798
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | CC-WYW950030016
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License Number State | MI
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