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General NPI Number Information
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NPI Number | 1487863650
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Entity Type | Individual
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Provider Name | CARA DUVALL FLANDERS MMFT, LPC, LMFT-A
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6 MCKINZIE HALL ACU BOX 28083
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City | ABILENE
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State | TX
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Zip | 79699-8083
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Country | US
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Telephone | 325-674-2063
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Fax | 325-674-6496
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Provider Business Mailing Address
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Address Line | 1341 E NORTH 16TH ST
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City | ABILENE
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State | TX
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Zip | 79601-3924
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Country | US
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Telephone | 325-864-5469
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LPC12014
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License Number State | TX
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