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General NPI Number Information
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NPI Number | 1063582740
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Entity Type | Individual
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Provider Name | JENNIFER ELIZABETH KESCHINGER LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1316 N LAKE DR ADOLESCENT RECOVERY CENTER
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City | LEXINGTON
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State | SC
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Zip | 29072-7653
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Country | US
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Telephone | 803-951-1902
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Fax |
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Provider Business Mailing Address
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Address Line | 7 KRIDER CT
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City | IRMO
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State | SC
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Zip | 29063-7807
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Country | US
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Telephone | 803-749-7817
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8690
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License Number State | SC
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