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General NPI Number Information
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NPI Number | 1508520644
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Entity Type | Individual
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Provider Name | SHAVEN ABNEY SMITH LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1500 WEISS ST
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City | SAGINAW
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State | MI
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Zip | 48602-5251
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Country | US
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Telephone | 989-497-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 1809 IVY LN
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City | MIDLAND
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State | MI
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Zip | 48642-4729
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Country | US
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Telephone | 601-642-3069
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW008870
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6851114089
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 18500
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17608
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License Number State | SC
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