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General NPI Number Information
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NPI Number | 1538901368
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Entity Type | Individual
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Provider Name | CHAD CARSON PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/11/2024
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 5405 W 151ST ST
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City | LEAWOOD
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State | KS
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Zip | 66224-8700
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Country | US
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Telephone | 682-900-6631
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Fax | 800-416-8145
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Provider Business Mailing Address
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Address Line | 16 VILLAGE LN STE 200
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City | COLLEYVILLE
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State | TX
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Zip | 76034-2948
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Country | US
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Telephone | 682-900-6631
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Fax | 800-416-8145
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209032141
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2026003654
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 133793-30
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 53-85230-022
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License Number State | KS
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