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General NPI Number Information
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NPI Number | 1881676740
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Entity Type | Individual
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Provider Name | REBECCA J ENGLE LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2401 W BAY DR BLDG 100, STE 117
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City | LARGO
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State | FL
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Zip | 33770-4900
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Country | US
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Telephone | 727-517-3706
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6049
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City | NAVARRE
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State | FL
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Zip | 32566-1649
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Country | US
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Telephone | 727-517-3706
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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 | SW0003089
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License Number State | FL
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