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General NPI Number Information
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NPI Number | 1033461629
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Entity Type | Individual
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Provider Name | JENNIFER LYN PALAHNIUK LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/08/2012
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 6334 FM 2920 RD STE 300
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City | SPRING
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State | TX
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Zip | 77379-3473
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Country | US
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Telephone | 832-828-3322
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Fax | 281-370-0690
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Provider Business Mailing Address
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Address Line | 6334 FM 2920 RD STE 300
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City | SPRING
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State | TX
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Zip | 77379-3473
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Country | US
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Telephone | 281-370-0616
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Fax | 281-370-0609
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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 | 66282
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License Number State | TX
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