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General NPI Number Information
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NPI Number | 1336274802
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Entity Type | Individual
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Provider Name | THOMAS SPENCER SLAGLE LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 12/11/2009
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Provider Practice Location Address
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Address Line | 330 W MAIN ST
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City | FRANKLIN
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State | NC
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Zip | 28734-2925
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Country | US
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Telephone | 828-627-9254
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Fax | 828-627-8811
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Provider Business Mailing Address
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Address Line | PO BOX 84
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City | DILLSBORO
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State | NC
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Zip | 28725-0084
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Country | US
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Telephone | 828-586-2889
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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 | C001848
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License Number State | NC
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