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General NPI Number Information
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NPI Number | 1497290175
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Entity Type | Individual
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Provider Name | KARAH CAIN
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Gender | Female
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Dates
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Enumeration Date | 01/04/2017
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 309-311 GARRETT
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City | FREDERICKTOWN
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State | MO
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Zip | 63645-1084
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Country | US
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Telephone | 573-783-4104
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Fax | 573-783-4572
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Provider Business Mailing Address
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Address Line | 402 S SILVER SPRINGS RD
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-7536
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Country | US
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Telephone | 573-334-1100
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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 | 2016040354
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License Number State | MO
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