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General NPI Number Information
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NPI Number | 1598880387
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Entity Type | Individual
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Provider Name | NANCY JEAN SLOAN MA,WVLPC,WVLCSW
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 11/12/2013
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Provider Practice Location Address
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Address Line | 600 SHREWSBURY ST ROOM 320
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City | CHARLESTON
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State | WV
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Zip | 25301-1230
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Country | US
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Telephone | 304-342-1568
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6632
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City | CHARLESTON
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State | WV
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Zip | 25362-0632
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Country | US
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Telephone | 304-342-1568
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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 | CP00451847
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 457
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License Number State | WV
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