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General NPI Number Information
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NPI Number | 1487260725
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE CORTEZ LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 6650 RIVERS AVE STE 100
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4809
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Country | US
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Telephone | 803-964-9781
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Fax | 803-784-8971
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Provider Business Mailing Address
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Address Line | 2764 PLEASANT RD STE A PMB 10354
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City | FORT MILL
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State | SC
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Zip | 29708-7214
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Country | US
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Telephone | 803-964-9781
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Fax | 803-784-8971
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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 | LW61525542
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License Number State | WA
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