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General NPI Number Information
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NPI Number | 1891768503
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Entity Type | Individual
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Provider Name | CAROLYN VALERIE FLUHART PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/12/2006
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Last Update Date | 06/19/2016
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Provider Practice Location Address
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Address Line | 1324 STATE ROUTE 125 STE 202
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City | AMELIA
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State | OH
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Zip | 45102-0015
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Country | US
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Telephone | 513-981-7363
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Fax | 513-779-9209
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Provider Business Mailing Address
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Address Line | 2903 STATE ROUTE 232
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City | BETHEL
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State | OH
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Zip | 45106-8220
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Country | US
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Telephone | 513-734-1876
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Fax | 513-734-1876
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5324
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License Number State | OH
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