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General NPI Number Information
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NPI Number | 1467401307
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Entity Type | Individual
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Provider Name | SHARON CAGLE LCSW DCSW
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Gender | Female
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 121 COMMERCIAL DRIVE B
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City | STUTTGART
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State | AR
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Zip | 72160
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Country | US
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Telephone | 870-673-1633
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Fax | 870-673-1253
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Provider Business Mailing Address
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Address Line | 2500 RIKE DRIVE
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City | PINE BLUFF
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State | AR
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Zip | 71603
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Country | US
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Telephone | 870-534-1834
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Fax | 870-534-5798
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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 | 050C
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License Number State | AR
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