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General NPI Number Information
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NPI Number | 1942722038
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Entity Type | Individual
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Provider Name | KARSEN DELANEY CARDINAL
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Gender | Female
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Dates
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Enumeration Date | 07/11/2017
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 4315 E HELAMAN AVE
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City | LAS VEGAS
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State | NV
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Zip | 89120
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Country | US
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Telephone | 702-780-0822
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Fax |
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Provider Business Mailing Address
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Address Line | 415 MEDICAL DR STE D101
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City | BOUNTIFUL
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State | UT
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Zip | 84010-8905
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Country | US
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Telephone | 801-683-1062
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CI5195
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License Number State | NV
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