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General NPI Number Information
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NPI Number | 1740614353
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Entity Type | Individual
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Provider Name | JAMIE LYNN CARUSO LPC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2013
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 1075 S MAIN ST STE 112114
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City | GREENSBURG
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State | PA
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Zip | 15601-4863
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Country | US
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Telephone | 724-396-1510
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Fax | 724-972-4627
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Provider Business Mailing Address
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Address Line | 101 PEMBROKE CT
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City | GREENSBURG
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State | PA
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Zip | 15601-6404
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Country | US
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Telephone | 412-552-0231
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MF000725
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC014495
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License Number State | PA
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