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General NPI Number Information
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NPI Number | 1265776264
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Entity Type | Individual
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Provider Name | DAVID P CECIL PHD, LCSW
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Gender | Male
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 08/21/2015
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Provider Practice Location Address
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Address Line | 836 EUCLID AVE STE 314
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City | LEXINGTON
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State | KY
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Zip | 40502-1973
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Country | US
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Telephone | 859-312-8231
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Fax | 855-262-3152
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Provider Business Mailing Address
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Address Line | 802 CORBITT DR
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City | WILMORE
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State | KY
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Zip | 40390-1065
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Country | US
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Telephone | 859-312-8231
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Fax | 855-262-3152
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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 | 3624
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License Number State | KY
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