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General NPI Number Information
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NPI Number | 1902143613
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Entity Type | Individual
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Provider Name | THARWAT ALI SAFA ED.S
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Gender | Female
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Dates
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Enumeration Date | 01/15/2013
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 310 ROLAND ST
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City | BISHOPVILLE
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State | SC
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Zip | 29010-1140
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Country | US
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Telephone | 803-484-5337
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Fax | 803-483-0131
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Provider Business Mailing Address
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Address Line | PO BOX 507
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City | BISHOPVILLE
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State | SC
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Zip | 29010-0507
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Country | US
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Telephone | 803-484-5337
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Fax | 803-483-0131
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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