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General NPI Number Information
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NPI Number | 1316029408
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Entity Type | Individual
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Provider Name | SANDRA FLOWERS EBRON MSW, ACSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 109 BRADFORD AVE
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-5401
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Country | US
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Telephone | 910-323-0601
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Fax |
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Provider Business Mailing Address
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Address Line | 724 SUNNYBROOK DR
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City | HOPE MILLS
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State | NC
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Zip | 28348-5692
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Country | US
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Telephone | 910-424-3932
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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 | C000551
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License Number State | NC
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