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NPI 1821291519

NPI 1821291519 : HEIDI LYNETTE MCCARTY MSW : PRESTONSBURG, KY

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General NPI Number Information
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    NPI Number           |    1821291519
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    Entity Type          |    Individual 
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    Provider Name        |    HEIDI LYNETTE MCCARTY MSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/08/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    311 N ARNOLD AVE SUITE 402
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    City                 |    PRESTONSBURG
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    State                |    KY
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    Zip                  |    41653-1279
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    Country              |    US
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    Telephone            |    606-889-1724
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    Fax                  |    606-889-1727
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Provider Business Mailing Address
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    Address Line         |    856 ROCKHOUSE FORK RD 
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    City                 |    SALYERSVILLE
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    State                |    KY
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    Zip                  |    41465-9489
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    Country              |    US
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    Telephone            |    606-367-0745
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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