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General NPI Number Information
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NPI Number | 1558735787
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Entity Type | Individual
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Provider Name | KARLA CHAMBERLIN LPC
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Gender | Female
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Dates
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Enumeration Date | 11/27/2015
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 501 LOUISIANA ST
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City | MANSFIELD
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State | LA
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Zip | 71052-2621
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Country | US
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Telephone | 318-872-2081
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Fax | 318-872-2082
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Provider Business Mailing Address
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Address Line | 501 LOUISIANA ST
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City | MANSFIELD
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State | LA
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Zip | 71052-2621
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Country | US
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Telephone | 318-872-2081
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Fax | 318-872-2082
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4524
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License Number State | LA
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