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General NPI Number Information
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NPI Number | 1679753578
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Entity Type | Organization
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Legal Business Name | MARK P. CARNEY PSY.D. INC
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 1601 CONCORD PIKE SUITE#50
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City | WILMINGTON
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State | DE
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Zip | 19803-3612
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Country | US
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Telephone | 302-425-4417
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Fax | 302-425-0194
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Provider Business Mailing Address
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Address Line | 1601 CONCORD PIKE SUITE#50
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City | WILMINGTON
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State | DE
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Zip | 19803-3612
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Country | US
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Telephone | 302-425-4417
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Fax | 302-425-0194
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MARK PATRICK CARNEY
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Credential | PSY. D.
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Telephone | 302-425-4417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | B1-0000662
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License Number State | DE
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