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General NPI Number Information
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NPI Number | 1902109176
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Entity Type | Individual
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Provider Name | BETTY POWELL LCSW, LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 1301 GLADEWOOD DR
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City | BLACKSBURG
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State | VA
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Zip | 24060-2612
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Country | US
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Telephone | 540-315-7225
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Fax | 484-472-1527
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Provider Business Mailing Address
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Address Line | 610 N MAIN ST # 112
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City | BLACKSBURG
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State | VA
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Zip | 24060-3311
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Country | US
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Telephone | 540-315-7225
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Fax | 484-472-1527
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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 | CW016331
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License Number State | PA
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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 | 08787
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License Number State | MD
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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 | 0904002492
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License Number State | VA
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