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General NPI Number Information
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NPI Number | 1730780420
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Entity Type | Individual
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Provider Name | SHARON M BIXBY LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/08/2020
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Last Update Date | 11/14/2020
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Provider Practice Location Address
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Address Line | 317 S WEST ST
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City | CULPEPER
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State | VA
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Zip | 22701-3131
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Country | US
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Telephone | 540-274-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 10165 MEADOWS RD
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City | LOCUST GROVE
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State | VA
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Zip | 22508-9612
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Country | US
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Telephone | 540-479-5679
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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 | 0904007826
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License Number State | VA
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