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General NPI Number Information
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NPI Number | 1447428206
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Entity Type | Individual
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Provider Name | JANET M CARPENTIER LISAC
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Gender | Female
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 483 W SEEDFARM ROAD NEW BEGINNINGS BLDG
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City | SACATON
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State | AZ
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Zip | 85247
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Country | US
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Telephone | 602-350-0153
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Fax | 480-219-8262
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Provider Business Mailing Address
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Address Line | PO BOX 38 NEW BEGINNINGS BLDG
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City | SACATON
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State | AZ
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Zip | 85247
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Country | US
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Telephone | 602-350-0153
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Fax | 480-219-8262
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 10475
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2013
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0762AL
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 201801
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License Number State | AZ
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