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General NPI Number Information
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NPI Number | 1750605655
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Entity Type | Organization
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Legal Business Name | CARLA RENAE ARLIEN PHD
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Dates
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Enumeration Date | 03/22/2010
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Last Update Date | 11/13/2022
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Provider Practice Location Address
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Address Line | 819 SOUTHWESTERN RUN STE 2
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City | POLAND
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State | OH
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Zip | 44514-3623
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Country | US
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Telephone | 330-953-1354
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Fax | 330-953-1364
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Provider Business Mailing Address
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Address Line | PO BOX 5545
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City | POLAND
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State | OH
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Zip | 44514-0545
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Country | US
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Telephone | 330-953-1354
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Fax | 330-953-1364
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Authorized Official
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Title or Position | OWNER
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Name | DR. CARLA RENAE ARLIEN
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Credential | PHD
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Telephone | 330-953-1354
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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 | 6644
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License Number State | OH
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