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General NPI Number Information
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NPI Number | 1902020829
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Entity Type | Individual
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Provider Name | ELIZABETH MARIE THARP NCC, LCPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 7733 ARBOR RIDGE DR.
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City | NEWBURGH
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State | IN
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Zip | 47630
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Country | US
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Telephone | 618-384-9140
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Fax | 812-518-4141
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Provider Business Mailing Address
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Address Line | 7733 ARBOR RIDGE DR.
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City | NEWBURGH
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State | IN
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Zip | 47630
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Country | US
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Telephone | 812-518-4141
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Fax | 812-518-4141
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 180-002105
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License Number State | IL
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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 | 180-002105
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39002097A
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License Number State | IN
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