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NPI 1366704892

NPI 1366704892 : SHARON SPRINGER MSW : WILMINGTON, NC

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General NPI Number Information
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    NPI Number           |    1366704892
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    Entity Type          |    Individual 
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    Provider Name        |    SHARON SPRINGER MSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/11/2012
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    Last Update Date     |    06/11/2012
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Provider Practice Location Address
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    Address Line         |    3137 WRIGHTSVILLE AVE 
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    City                 |    WILMINGTON
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    State                |    NC
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    Zip                  |    28403-4111
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    Country              |    US
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    Telephone            |    910-815-3112
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    Fax                  |    910-815-3116
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Provider Business Mailing Address
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    Address Line         |    101 E BANK RD 
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    City                 |    WILMINGTON
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    State                |    NC
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    Zip                  |    28412-3501
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    Country              |    US
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    Telephone            |    910-799-0983
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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       |    P006958
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    License Number State |    NC
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