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General NPI Number Information
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NPI Number | 1851100440
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Entity Type | Individual
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Provider Name | LADY CAROLINA PEDERSEN LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 8956 RESEARCH BLVD BLDG 2
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City | AUSTIN
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State | TX
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Zip | 78758-5969
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Country | US
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Telephone | 512-451-7337
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Fax |
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Provider Business Mailing Address
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Address Line | 6726 LANCRET HILL DR APT B
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City | AUSTIN
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State | TX
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Zip | 78745-4717
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Country | US
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Telephone | 786-319-3418
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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 | 204460
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License Number State | TX
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