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General NPI Number Information
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NPI Number | 1619962685
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Entity Type | Individual
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Provider Name | JENNY THARPE SMITH MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 01/19/2011
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Provider Practice Location Address
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Address Line | 625 7TH AVE NE
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City | HICKORY
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State | NC
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Zip | 28601-3984
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Country | US
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Telephone | 828-328-7252
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Fax | 828-328-7274
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Provider Business Mailing Address
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Address Line | 425 7TH AVE SW
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City | HICKORY
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State | NC
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Zip | 28602-3237
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Country | US
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Telephone | 828-328-7252
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Fax | 828-328-7274
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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 | C004764
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License Number State | NC
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