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General NPI Number Information
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NPI Number | 1194832519
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Entity Type | Individual
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Provider Name | CAROL PAIGE SMITH LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 1633 HIGHWAY 31 NW
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City | HARTSELLE
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State | AL
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Zip | 35640-4426
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Country | US
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Telephone | 256-773-6003
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Fax | 256-773-0780
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Provider Business Mailing Address
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Address Line | 1633 HIGHWAY 31 NW
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City | HARTSELLE
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State | AL
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Zip | 35640-4426
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Country | US
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Telephone | 256-773-6003
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Fax | 256-773-0780
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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 | C003587
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License Number State | NC
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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 | 2190C
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License Number State | AL
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