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General NPI Number Information
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NPI Number | 1508557737
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Entity Type | Individual
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Provider Name | JOSEPH RAY MYERS LMHCA
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Gender | Male
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 600 E CARMEL DR STE 165
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City | CARMEL
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State | IN
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Zip | 46032-3056
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Country | US
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Telephone | 317-572-5034
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Fax |
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Provider Business Mailing Address
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Address Line | 6308 E 106TH ST
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City | FISHERS
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State | IN
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Zip | 46038-1703
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Country | US
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Telephone | 317-270-8380
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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 | 88001969A
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License Number State | IN
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