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General NPI Number Information
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NPI Number | 1184839110
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Entity Type | Individual
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Provider Name | CHARLOTTE H SHULER MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10584 NW AZALEA ST
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City | BRISTOL
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State | FL
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Zip | 32321-3367
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Country | US
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Telephone | 850-643-5551
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Fax | 850-643-3446
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Provider Business Mailing Address
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Address Line | PO BOX 1120
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City | BRISTOL
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State | FL
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Zip | 32321-1120
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Country | US
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Telephone | 850-643-5551
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Fax | 850-643-3446
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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 | SW 2669
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License Number State | FL
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