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General NPI Number Information
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NPI Number | 1508061730
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Entity Type | Individual
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Provider Name | KAREN EARLE SMITH LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 12/17/2014
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Provider Practice Location Address
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Address Line | 174 MINE LAKE CT SUITE 200
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City | RALEIGH
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State | NC
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Zip | 27615-6417
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Country | US
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Telephone | 919-624-4566
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Fax |
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Provider Business Mailing Address
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Address Line | 931 MARILYN DR
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City | RALEIGH
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State | NC
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Zip | 27607-3406
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Country | US
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Telephone | 919-833-9230
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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 | C005183
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License Number State | NC
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