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General NPI Number Information
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NPI Number | 1689208985
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Entity Type | Individual
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Provider Name | KAREN ELIZABETH WALTERS LCSWA, LCAS-A
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Gender | Female
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 12740 SPRUCE TREE WAY STE 102
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City | RALEIGH
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State | NC
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Zip | 27614-8295
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Country | US
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Telephone | 808-271-3551
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Fax |
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Provider Business Mailing Address
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Address Line | 106 HOBOKEN CT
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City | APEX
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State | NC
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Zip | 27523-3859
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Country | US
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Telephone | 808-271-3551
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-26211
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License Number State | NC
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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 |
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License Number State |
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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 | C14948
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License Number State | NC
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