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General NPI Number Information
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NPI Number | 1568891018
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Entity Type | Individual
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Provider Name | CANDACE SAM LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/05/2013
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 6101 HAVELOCK AVE SUITE 2A
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City | LINCOLN
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State | NE
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Zip | 68507-1268
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Country | US
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Telephone | 702-353-0952
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Fax | 844-329-1465
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Provider Business Mailing Address
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Address Line | 6101 HAVELOCK AVE SUITE 2A
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City | LINCOLN
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State | NE
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Zip | 68507-1268
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Country | US
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Telephone | 702-353-0952
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Fax | 844-329-1465
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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 | 1483
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1611
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License Number State | NE
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