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General NPI Number Information
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NPI Number | 1659925089
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Entity Type | Individual
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Provider Name | REBECCA CARLSEN EDWARDS LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 516 WEYBRIDGE ST
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City | MIDDLEBURY
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State | VT
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Zip | 05753-1068
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Country | US
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Telephone | 941-773-4846
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Fax |
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Provider Business Mailing Address
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Address Line | 516 WEYBRIDGE ST
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City | MIDDLEBURY
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State | VT
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Zip | 05753-1068
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Country | US
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Telephone | 941-773-4846
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Fax |
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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 | C-12051
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License Number State | NM
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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 | C014073
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW021824
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 089.0135584
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License Number State | VT
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 19806
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 174787
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License Number State | AK
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34009514A
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License Number State | IN
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Taxonomy #8
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7695
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License Number State | TN
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Taxonomy #9
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C1066
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License Number State | MS
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Taxonomy #10
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4692C
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License Number State | AL
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Taxonomy #11
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11391-C
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License Number State | AR
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Taxonomy #12
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW16527
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License Number State | FL
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