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General NPI Number Information
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NPI Number | 1073711933
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Entity Type | Individual
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Provider Name | KIMBERLEY SAFT RENTSCHLER PHD, LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9140 GOLFSIDE DR UNIT 9N
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City | JACKSONVILLE
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State | FL
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Zip | 32256-1881
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Country | US
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Telephone | 904-742-6322
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Fax | 904-732-9556
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Provider Business Mailing Address
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Address Line | 9140 GOLFSIDE DR UNIT 9N
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City | JACKSONVILLE
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State | FL
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Zip | 32256-1881
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Country | US
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Telephone | 904-742-6322
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Fax | 904-732-9556
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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 | SW8277
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License Number State | FL
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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 | CW014508
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License Number State | PA
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