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General NPI Number Information
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NPI Number | 1881056141
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Entity Type | Individual
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Provider Name | MRS. CAROLYN YVONNE EDWARDS
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Gender | Female
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Dates
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Enumeration Date | 03/25/2016
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 309 E MAIN ST STE 8
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City | AUBURN
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State | WA
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Zip | 98002-5540
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Country | US
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Telephone | 808-371-3165
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Fax |
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Provider Business Mailing Address
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Address Line | 13116 SE 306TH PL
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City | AUBURN
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State | WA
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Zip | 98092-3406
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Country | US
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Telephone | 808-371-3165
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60983439
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CG60637119
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License Number State | WA
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