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General NPI Number Information
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NPI Number | 1891740635
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Entity Type | Individual
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Provider Name | KAREL DISPONETT PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 114 N 5TH ST SUITE 11
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City | BARDSTOWN
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State | KY
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Zip | 40004-1449
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Country | US
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Telephone | 502-507-9765
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Fax | 502-348-0121
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Provider Business Mailing Address
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Address Line | 6274 OLD BLOOMFIELD RD
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City | BLOOMFIELD
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State | KY
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Zip | 40008-7602
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Country | US
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Telephone | 502-490-0198
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Fax | 502-348-0121
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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 | 0051
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 2007-67
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License Number State | KY
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