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General NPI Number Information
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NPI Number | 1982415865
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Entity Type | Individual
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Provider Name | KAREN CARPENTER LPC
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Gender | Female
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Dates
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Enumeration Date | 01/18/2025
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 300 N STATE LINE AVE
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City | TEXARKANA
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State | AR
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Zip | 71854-5926
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Country | US
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Telephone | 903-336-3484
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Fax |
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Provider Business Mailing Address
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Address Line | 13 RIVER PLANTATION
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City | TEXARKANA
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State | TX
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Zip | 75503-9777
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Country | US
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Telephone | 903-280-4132
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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 | P2501002
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License Number State | AR
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