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General NPI Number Information
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NPI Number | 1942213541
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Entity Type | Individual
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Provider Name | ANDREA L. SHOW MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | BAY PINES VA HEALTH CARE SYSTEM 10000 BAY PINES BLVD.
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City | ST. PETERSBURG
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State | FL
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Zip | 33744
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Country | US
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Telephone | 727-398-6661
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Fax | 727-398-9487
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Provider Business Mailing Address
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Address Line | 880 S VILLAGE DR N APT 104
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City | ST PETERSBURG
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State | FL
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Zip | 33716-3033
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Country | US
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Telephone | 727-398-6661
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Fax | 727-398-9487
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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 | SW 7010
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License Number State | FL
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