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General NPI Number Information
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NPI Number | 1417160425
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Entity Type | Individual
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Provider Name | DIANE ELIZABETH STAWAR M.A.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1618 BEELER ST
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City | NEW ALBANY
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State | IN
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Zip | 47150
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Country | US
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Telephone | 812-949-2499
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Fax |
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Provider Business Mailing Address
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Address Line | 6131 STATE ROAD 62
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City | GEORGETOWN
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State | IN
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Zip | 47122-9226
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Country | US
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Telephone | 812-948-0635
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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 | 39001500A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0579
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License Number State | KY
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