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General NPI Number Information
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NPI Number | 1699402644
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Entity Type | Individual
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Provider Name | LINDSAY B SCHUPBACH LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 111 E DAVIDSON ST
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-3413
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Country | US
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Telephone | 479-397-0375
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Fax |
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Provider Business Mailing Address
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Address Line | 111 E DAVIDSON ST
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-3413
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Country | US
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Telephone | 479-397-0375
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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 | CSW.09931478
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License Number State | CO
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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 | 11955-C
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License Number State | AR
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