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General NPI Number Information
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NPI Number | 1427085166
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Entity Type | Individual
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Provider Name | ANGELA A. THOMPSON LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 2029 W DEKALB ST
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City | CAMDEN
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State | SC
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Zip | 29020-2093
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Country | US
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Telephone | 803-272-9750
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Fax | 803-424-2884
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Provider Business Mailing Address
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Address Line | 804 WOODGATE RD
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City | CAMDEN
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State | SC
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Zip | 29020-1635
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Country | US
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Telephone | 803-272-9750
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Fax | 803-424-2884
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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 |
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License Number State | SC
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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 | 8490
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License Number State | SC
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