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General NPI Number Information
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NPI Number | 1073836714
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Entity Type | Individual
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Provider Name | JENNIFER LEE SLUSHER LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 7830 CLAIREMONT MESA BLVD SUITE 287
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City | SAN DIEGO
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State | CA
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Zip | 92111-1619
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Country | US
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Telephone | 858-922-2126
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Fax |
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Provider Business Mailing Address
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Address Line | 6250 LAKE ARAGO AVE
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City | SAN DIEGO
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State | CA
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Zip | 92119-3505
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Country | US
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Telephone | 858-922-2126
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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 | 25396
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License Number State | CA
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