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General NPI Number Information
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NPI Number | 1871712919
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Entity Type | Individual
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Provider Name | CAROLYN P. HIMMELGREEN M.S.D.T.R.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 EDMONDS RD
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City | REDWOOD CITY
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State | CA
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Zip | 94062-3813
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Country | US
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Telephone | 650-367-1890
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Fax | 650-369-6465
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Provider Business Mailing Address
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Address Line | 245 BUSH ST #8
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94041-1300
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Country | US
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Telephone | 650-965-4462
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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 | DTR801
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License Number State | NY
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