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General NPI Number Information
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NPI Number | 1568607521
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Entity Type | Organization
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Legal Business Name | JOSEPH M. CARVER, PH.D., INC.
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 500 CHILLICOTHE ST SUITE 306
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City | PORTSMOUTH
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State | OH
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Zip | 45662-4179
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Country | US
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Telephone | 740-353-1548
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Fax | 740-353-7198
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Provider Business Mailing Address
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Address Line | 500 CHILLICOTHE ST SUITE 306
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City | PORTSMOUTH
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State | OH
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Zip | 45662-4179
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Country | US
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Telephone | 740-353-1548
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Fax | 740-353-7198
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. JOSEPH MICHAEL CARVER
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Credential | PH.D.
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Telephone | 740-353-1548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4333
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License Number State | OH
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