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General NPI Number Information
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NPI Number | 1760799035
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Entity Type | Individual
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Provider Name | JANET MARIAN RHODES-CARLSON MSW
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Gender | Female
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 200A PROFESSIONAL COURT
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City | LAFAYETTE
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State | IN
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Zip | 47905-4967
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Country | US
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Telephone | 765-449-1992
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Fax | 765-449-2054
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Provider Business Mailing Address
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Address Line | 200 PROFESSIONAL COURT, SUITE A
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City | LAFAYETTE
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State | IN
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Zip | 47903
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Country | US
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Telephone | 765-449-1992
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Fax | 765-449-2054
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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 |
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License Number State | IN
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