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General NPI Number Information
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NPI Number | 1447303789
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Entity Type | Individual
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Provider Name | KAREN M. MOGAB LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 313 MAIN ST STE A
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City | GREENWOOD
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State | SC
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Zip | 29646-2757
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Country | US
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Telephone | 864-889-9995
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Fax | 864-229-8037
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Provider Business Mailing Address
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Address Line | 313 MAIN ST STE A
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City | GREENWOOD
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State | SC
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Zip | 29646-2757
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Country | US
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Telephone | 864-889-9995
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Fax | 864-229-8037
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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 | 8413
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License Number State | SC
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