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General NPI Number Information
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NPI Number | 1316357783
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Entity Type | Individual
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Provider Name | ANGELINE SAXON LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/06/2014
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Last Update Date | 08/01/2019
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Provider Practice Location Address
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Address Line | 396 S CENTRE ST
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City | POTTSVILLE
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State | PA
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Zip | 17901-3596
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Country | US
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Telephone | 570-449-9170
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Fax |
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Provider Business Mailing Address
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Address Line | 415 STONEY RUN RD
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City | POTTSVILLE
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State | PA
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Zip | 17901-9118
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Country | US
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Telephone | 570-449-9170
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW129986
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License Number State | PA
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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 | CW018615
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License Number State | PA
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