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General NPI Number Information
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NPI Number | 1851153217
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Entity Type | Individual
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Provider Name | MACKENZIE ELISE BINKLEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 120 SAINT LOUIS AVE
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City | SEYMOUR
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State | IN
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Zip | 47274-2304
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Country | US
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Telephone | 812-405-1857
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Fax | 812-954-5022
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Provider Business Mailing Address
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Address Line | 8003 CASTLEWAY DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-1946
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Country | US
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Telephone | 317-576-1335
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Fax | 317-343-6562
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34011251A
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License Number State | IN
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