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General NPI Number Information
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NPI Number | 1760713499
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Entity Type | Individual
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Provider Name | MARGARET FOWEE MSW, LCSW, LISW
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Gender | Female
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 184 TRIANNA DR
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City | ST AUGUSTINE
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State | FL
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Zip | 32086
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Country | US
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Telephone | 904-323-1578
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Fax |
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Provider Business Mailing Address
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Address Line | 99 KING ST UNIT 1082
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City | ST AUGUSTINE
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State | FL
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Zip | 32085-7746
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Country | US
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Telephone | 904-323-1578
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCDCIII.081078
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License Number State | OH
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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 | I.1200249-SUPV
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW10698
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License Number State | FL
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