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General NPI Number Information
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NPI Number | 1407905060
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Entity Type | Individual
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Provider Name | SUSAN B. SPANGLER LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 340 PARK AVE
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City | FREDERICK
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State | MD
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Zip | 21701-4931
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Country | US
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Telephone | 301-663-1683
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Fax | 301-663-3792
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Provider Business Mailing Address
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Address Line | 340 PARK AVE
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City | FREDERICK
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State | MD
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Zip | 21701-4931
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Country | US
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Telephone | 301-663-1683
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Fax | 301-663-3792
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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 | 09118
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW016269
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License Number State | PA
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