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General NPI Number Information
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NPI Number | 1386267987
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Entity Type | Individual
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Provider Name | STEFANIE MYERS MSW, LGSW
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Gender | Female
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 1801 N 6TH ST
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City | TERRE HAUTE
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State | IN
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Zip | 47804-4086
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Country | US
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Telephone | 812-238-7384
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Fax | 812-238-7002
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Provider Business Mailing Address
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Address Line | 1801 N 6TH ST
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City | TERRE HAUTE
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State | IN
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Zip | 47804-4086
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Country | US
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Telephone | 812-238-7384
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Fax | 812-238-7002
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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 | 34010367A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW042015487
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License Number State | WV
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