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NPI 1023760576

NPI 1023760576 : HEATHER SUE SMITH MSW : SPOTSYLVANIA, VA

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General NPI Number Information
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    NPI Number           |    1023760576
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    Entity Type          |    Individual 
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    Provider Name        |    HEATHER SUE SMITH MSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/25/2022
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    Last Update Date     |    01/25/2022
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Provider Practice Location Address
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    Address Line         |    7001 N ROXBURY MILL RD 
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    City                 |    SPOTSYLVANIA
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    State                |    VA
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    Zip                  |    22551-2441
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    Country              |    US
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    Telephone            |    540-582-7617
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5505 HERITAGE HILLS CIR 
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    City                 |    FREDERICKSBURG
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    State                |    VA
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    Zip                  |    22407-0104
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    Country              |    US
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    Telephone            |    515-344-1593
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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        |    1041S0200X
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    Taxonomy Name        |    School Social Worker
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    License Number       |    
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    License Number State |    
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