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General NPI Number Information
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NPI Number | 1417088634
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Entity Type | Individual
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Provider Name | KAREN YVETTE CLARK-LOWMAN LPC
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 1002 DOGWOOD DR
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City | ZEBULON
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State | NC
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Zip | 27597-6814
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Country | US
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Telephone | 919-404-3946
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Fax | 919-404-3948
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Provider Business Mailing Address
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Address Line | 9802 RAINSONG DR
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City | WAKE FOREST
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State | NC
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Zip | 27587-4162
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Country | US
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Telephone | 407-489-1456
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Fax | 919-404-3948
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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 | 5281
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License Number State | NC
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