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General NPI Number Information
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NPI Number | 1942302401
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Entity Type | Individual
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Provider Name | STEPHANIE REDER CARTER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7325 SW 63RD AVE SUITE 101
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4811
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Country | US
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Telephone | 305-284-1143
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Fax | 305-667-9880
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Provider Business Mailing Address
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Address Line | 3400 SW 27TH AVE APT. 1902
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City | MIAMI
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State | FL
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Zip | 33133-5307
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Country | US
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Telephone | 305-284-1143
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Fax | 305-667-9880
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 4293
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License Number State | FL
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