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General NPI Number Information
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NPI Number | 1861586018
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Entity Type | Individual
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Provider Name | SHEA LANGS LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 2310 DA VINCI DR
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City | PEARLAND
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State | TX
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Zip | 77581-1604
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Country | US
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Telephone | 901-581-8906
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Fax |
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Provider Business Mailing Address
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Address Line | 2310 DA VINCI DR
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City | PEARLAND
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State | TX
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Zip | 77581-1604
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Country | US
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Telephone | 901-581-8906
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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 | 2226-C
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License Number State | AR
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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 | C6948
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License Number State | MS
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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 | 111167
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4986
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License Number State | TN
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