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General NPI Number Information
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NPI Number | 1457475899
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Entity Type | Individual
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Provider Name | SHARON LEVINE ROSS MSSW,LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 5924 ROYAL LN SUITE 103
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City | DALLAS
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State | TX
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Zip | 75230-3863
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Country | US
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Telephone | 214-364-9999
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Fax | 972-661-8031
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Provider Business Mailing Address
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Address Line | 5617 WILLIAMSTOWN RD
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City | DALLAS
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State | TX
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Zip | 75230-2129
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Country | US
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Telephone | 214-354-9999
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Fax | 972-661-8031
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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 | TX24583
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License Number State | TX
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