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General NPI Number Information
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NPI Number | 1861816233
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Entity Type | Individual
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Provider Name | CARMELA ANNE WASKOVIAK STEARNS NCC, LPC-S
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Gender | Female
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Dates
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Enumeration Date | 02/06/2014
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Last Update Date | 02/06/2014
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Provider Practice Location Address
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Address Line | 102 W MORROW ST SUITE 202
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City | GEORGETOWN
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State | TX
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Zip | 78626-4307
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Country | US
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Telephone | 512-931-4008
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Fax |
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Provider Business Mailing Address
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Address Line | 157 CANYON OAK LOOP
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City | GEORGETOWN
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State | TX
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Zip | 78633-2048
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Country | US
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Telephone | 512-635-7085
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 58531
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License Number State | TX
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