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General NPI Number Information
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NPI Number | 1376877167
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Entity Type | Individual
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Provider Name | ELLEN SHEFFIELD PACE MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/25/2009
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 231 W LOCKWOOD AVE SUITE 201
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City | SAINT LOUIS
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State | MO
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Zip | 63119-2327
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Country | US
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Telephone | 314-968-1900
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Fax | 314-968-1901
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Provider Business Mailing Address
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Address Line | 30 OAKLEIGH LN
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City | SAINT LOUIS
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State | MO
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Zip | 63124-1359
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Country | US
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Telephone | 314-800-8929
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Fax | 314-968-1901
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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 | 2006003135
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License Number State | MO
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