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General NPI Number Information
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NPI Number | 1912955634
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Entity Type | Individual
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Provider Name | CAROLINE PATRICIA CARNEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 236 SIMPSON AVE
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City | ELKHART
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State | IN
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Zip | 46516-4666
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Country | US
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Telephone | 574-293-0052
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Fax |
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Provider Business Mailing Address
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Address Line | 128 E DESERT WIND DR
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City | PHOENIX
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State | AZ
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Zip | 85048-1815
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01058200
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License Number State | IN
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