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General NPI Number Information
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NPI Number | 1013061779
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Entity Type | Organization
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Legal Business Name | JENNIFER CLAUSON MSW PA
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 3997 COMMONS DR W STE C
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City | DESTIN
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State | FL
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Zip | 32541-8443
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Country | US
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Telephone | 850-837-3800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1773
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-1773
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Country | US
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Telephone | 850-837-3800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER CLAUSON
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Credential | LCSW
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Telephone | 850-837-3800
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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 | SW1431
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License Number State | FL
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