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General NPI Number Information
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NPI Number | 1407156771
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Entity Type | Individual
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Provider Name | ANGELA CHRISTINE SPIERS EDD, LPCC, LSW
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Gender | Female
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 06/16/2014
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Provider Practice Location Address
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Address Line | 2590 JACKS CREEK PIKE
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City | LEXINGTON
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State | KY
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Zip | 40515-9514
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Country | US
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Telephone | 859-948-8644
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Fax |
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Provider Business Mailing Address
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Address Line | 2590 JACKS CREEK PIKE
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City | LEXINGTON
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State | KY
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Zip | 40515-9514
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Country | US
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Telephone | 859-948-8644
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1710
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License Number State | KY
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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 | 3514
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License Number State | KY
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