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General NPI Number Information
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NPI Number | 1649062407
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Entity Type | Individual
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Provider Name | KARA DORCHAK LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2025 GUADALUPE ST STE 260
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City | AUSTIN
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State | TX
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Zip | 78705-5642
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Country | US
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Telephone | 864-336-2731
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Fax | 833-740-3387
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Provider Business Mailing Address
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Address Line | 144 OAKLAND ST
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City | WELLESLEY
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State | MA
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Zip | 02481-5323
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Country | US
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Telephone | 864-336-2731
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Fax | 833-740-3387
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LICSW1141458
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 65044
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License Number State | TX
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