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General NPI Number Information
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NPI Number | 1407586878
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Entity Type | Individual
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Provider Name | CARLEY BERNARDO LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/16/2022
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 5445 LEGACY DR STE 270
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City | PLANO
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State | TX
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Zip | 75024-3363
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Country | US
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Telephone | 972-865-8782
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Fax |
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Provider Business Mailing Address
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Address Line | 4101 WHISTLER DR
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City | PLANO
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State | TX
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Zip | 75093-6823
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Country | US
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Telephone | 972-528-0009
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Fax | 972-499-6935
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 67889
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License Number State | TX
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