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General NPI Number Information
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NPI Number | 1700763653
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Entity Type | Individual
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Provider Name | CAROLEE EDWARDS LPC
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Gender | Female
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 205 S 5TH ST # 22
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City | LEAVENWORTH
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State | KS
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Zip | 66048-2602
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Country | US
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Telephone | 913-565-2131
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Fax |
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Provider Business Mailing Address
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Address Line | 674 EVERLY CT
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City | LANSING
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State | KS
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Zip | 66043
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Country | US
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Telephone | 404-310-0408
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 05110
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License Number State | KS
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