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General NPI Number Information
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NPI Number | 1407083702
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Entity Type | Organization
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Legal Business Name | DEBORAH SMITH LCSW PA
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Dates
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Enumeration Date | 06/15/2009
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 7617 CITA LN UNIT 102 MAIL STATION 2, BOX 11
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-6216
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Country | US
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Telephone | 727-232-1689
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Fax | 866-595-8350
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Provider Business Mailing Address
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Address Line | 7617 CITA LN UNIT 102 MAIL STATION 2, BOX 11
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-6216
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Country | US
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Telephone | 727-232-1689
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Fax | 866-595-8350
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH SMITH
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Credential | LCSW
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Telephone | 727-232-1689
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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 |
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License Number State |
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