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General NPI Number Information
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NPI Number | 1063175305
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Entity Type | Individual
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Provider Name | JENNIFER R PIERCE LISW
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Gender | Female
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 181 TAYLOR AVE FL 2
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City | COLUMBUS
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State | OH
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Zip | 43203-1779
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Country | US
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Telephone | 614-257-3760
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Fax | 614-257-3148
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-257-3760
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Fax | 614-257-3148
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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 | I.2405228
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License Number State | OH
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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 | I.2405228
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License Number State | OH
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