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General NPI Number Information
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NPI Number | 1992934491
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Entity Type | Individual
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Provider Name | ANGELA MARIE SMITH MSW, LSW
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Gender | Female
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Dates
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Enumeration Date | 07/07/2009
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Last Update Date | 07/07/2009
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Provider Practice Location Address
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Address Line | 7701 W KILGORE AVE SUITE 6
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City | YORKTOWN
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State | IN
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Zip | 47396-9290
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Country | US
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Telephone | 765-287-8477
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Fax |
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Provider Business Mailing Address
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Address Line | 1923 COPELAND FARMS DR
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City | GREENFIELD
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State | IN
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Zip | 46140-7112
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Country | US
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Telephone | 317-462-8950
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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 | 33005036A
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License Number State | IN
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