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General NPI Number Information
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NPI Number | 1467572818
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Entity Type | Individual
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Provider Name | CAROL WHITESCARVER LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 1110 E MISSOURI AVE STE 340
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City | PHOENIX
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State | AZ
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Zip | 85014-2753
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Country | US
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Telephone | 602-932-3336
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Fax |
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Provider Business Mailing Address
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Address Line | 2118 N CHRYSLER DR
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City | TUCSON
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State | AZ
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Zip | 85716-2906
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Country | US
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Telephone | 505-274-2461
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34004268A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-18360
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License Number State | AZ
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