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General NPI Number Information
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NPI Number | 1437455417
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Entity Type | Individual
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Provider Name | DANETTE ALISA HARRINGTON CSW
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Gender | Female
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 708 WEBB ST
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City | DUENWEG
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State | MO
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Zip | 64841-0376
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Country | US
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Telephone | 417-208-8187
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 376 708 WEBB ST.
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City | DUENWEG
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State | MO
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Zip | 64841-0376
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Country | US
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Telephone | 417-208-8187
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2004004631
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License Number State | MO
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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 | 2856
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2652-C
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License Number State | AR
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