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General NPI Number Information
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NPI Number | 1679481659
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Entity Type | Organization
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Legal Business Name | CAROLINE'S CORNER
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 311 E CLIFTY DR
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City | MADISON
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State | IN
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Zip | 47250-4621
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Country | US
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Telephone | 812-993-4685
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Fax |
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Provider Business Mailing Address
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Address Line | 311 E CLIFTY DR
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City | MADISON
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State | IN
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Zip | 47250-4621
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Country | US
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Telephone | 812-993-4685
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BETH MCROBERTS
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Credential | MSW
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Telephone | 812-993-4685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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