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General NPI Number Information
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NPI Number | 1720136005
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Entity Type | Organization
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Legal Business Name | CAROL M. HELD, PH.D., INC.
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 120 SEARS AVE STE. 202
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City | LOUISVILLE
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State | KY
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Zip | 40207-5072
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Country | US
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Telephone | 502-893-8092
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Fax | 502-895-2808
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Provider Business Mailing Address
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Address Line | 120 SEARS AVE STE. 202
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City | LOUISVILLE
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State | KY
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Zip | 40207-5072
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Country | US
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Telephone | 502-893-8092
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Fax | 502-895-2808
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Authorized Official
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Title or Position | PRESIDENT
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Name | CAROL M HELD
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Credential | PH.D.
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Telephone | 502-893-8092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0593
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License Number State | KY
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