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General NPI Number Information
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NPI Number | 1841461316
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Entity Type | Individual
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Provider Name | CAROLYN KAY STEPHENS LPC AND PSYCH
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Gender | Female
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 08/30/2013
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Provider Practice Location Address
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Address Line | 104 JAMES ST.
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City | HINTON
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State | WV
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Zip | 25951
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Country | US
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Telephone | 304-466-4444
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Fax |
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Provider Business Mailing Address
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Address Line | HC 78 BOX 230-12
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City | HINTON
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State | WV
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Zip | 25951-8704
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Country | US
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Telephone | 304-466-4444
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 22061
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1246
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License Number State | WV
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