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General NPI Number Information
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NPI Number | 1124289822
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Entity Type | Individual
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Provider Name | STEPHANIE A BRUFF LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 620 N MAIN ST
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City | HARRISON
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State | AR
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Zip | 72601-2911
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Country | US
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Telephone | 870-414-4019
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Fax | 870-366-2350
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Provider Business Mailing Address
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Address Line | PO BOX 1893
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City | HARRISON
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State | AR
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Zip | 72602-1893
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Country | US
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Telephone | 870-688-2049
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Fax | 870-365-2350
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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 | 642-C
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License Number State | AR
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