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General NPI Number Information
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NPI Number | 1861608168
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Entity Type | Individual
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Provider Name | AMY ROESLER KARKANE LPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 297 INDEPENDENCE BLVD SUITE 212
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-2911
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Country | US
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Telephone | 757-385-0639
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Fax | 757-473-6157
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Provider Business Mailing Address
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Address Line | 2364 HAVERSHAM CLOSE
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-1153
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Country | US
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Telephone | 757-412-2288
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Fax | 757-462-8262
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701002059
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717000200
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License Number State | VA
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