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General NPI Number Information
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NPI Number | 1528321700
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Entity Type | Individual
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Provider Name | SHARAYAH TORNQUIST LMHC
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Gender | Female
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 3021 E 98TH ST STE 140
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City | CARMEL
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State | IN
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Zip | 46280-1964
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Country | US
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Telephone | 317-214-0863
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Fax | 317-569-1767
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Provider Business Mailing Address
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Address Line | 3021 E 98TH ST STE 140
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City | CARMEL
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State | IN
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Zip | 46280-1964
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Country | US
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Telephone | 317-214-0863
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Fax | 317-569-1767
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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 | 39002414A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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