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General NPI Number Information
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NPI Number | 1346464088
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Entity Type | Individual
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Provider Name | KAREN JULIAN SMITH MSW
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 307 BOATNER RD SUITE 114
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City | EGLIN AFB
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State | FL
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Zip | 32542
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Country | US
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Telephone | 850-883-8378
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Fax |
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Provider Business Mailing Address
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Address Line | 393 CAMDEN PASS LN
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-5706
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Country | US
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Telephone | 850-863-1946
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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 | 6801074354
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License Number State | MI
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