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General NPI Number Information
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NPI Number | 1912228818
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Entity Type | Individual
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Provider Name | KARLA M SMITH MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 09/03/2013
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Provider Practice Location Address
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Address Line | 241 GRANT ST
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City | WEST END
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State | NC
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Zip | 27376-8377
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Country | US
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Telephone | 910-673-3535
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Fax |
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Provider Business Mailing Address
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Address Line | 2531 BUFFALO CHURCH RD APT 6
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City | SANFORD
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State | NC
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Zip | 27330-7078
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Country | US
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Telephone | 919-215-5047
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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 | 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 #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C008456
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License Number State | NC
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