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General NPI Number Information
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NPI Number | 1528141413
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Entity Type | Individual
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Provider Name | SHONNA M POPE L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 215 FALLING WATER LN
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City | MORGANTOWN
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State | WV
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Zip | 26508-4550
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Country | US
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Telephone | 703-431-8857
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Fax |
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Provider Business Mailing Address
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Address Line | 364 PATTESON DR # 151
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City | MORGANTOWN
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State | WV
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Zip | 26505-3202
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Country | US
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Telephone | 571-361-8818
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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 | 013519
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License Number State | CT
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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 | 003926
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License Number State | VA
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