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General NPI Number Information
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NPI Number | 1932267705
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Entity Type | Individual
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Provider Name | SHEILA LARSON L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 504 S CLAYTON ST
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City | WILMINGTON
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State | DE
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Zip | 19805-4211
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Country | US
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Telephone | 302-584-3900
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Fax | 302-654-5112
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Provider Business Mailing Address
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Address Line | 113 EINSTEIN DR
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City | BEAR
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State | DE
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Zip | 19701-1099
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Country | US
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Telephone | 302-322-2151
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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 | Q1-0000646
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License Number State | DE
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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 | CW104326
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License Number State | PA
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