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General NPI Number Information
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NPI Number | 1033381322
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Entity Type | Individual
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Provider Name | SHANIDA ROXANA MAGANA LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 4765 SHERRILLS FORD RD
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City | SALISBURY
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State | NC
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Zip | 28147-7543
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Country | US
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Telephone | 972-841-2272
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Fax |
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Provider Business Mailing Address
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Address Line | 4765 SHERRILLS FORD RD
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City | SALISBURY
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State | NC
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Zip | 28147-7543
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Country | US
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Telephone | 972-841-2272
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 57745
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904016778
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LC50078439
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License Number State | DC
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