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General NPI Number Information
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NPI Number | 1124165444
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Entity Type | Individual
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Provider Name | JAMIE ANNE SPECTOR M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 04/23/2019
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Provider Practice Location Address
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Address Line | 174 ELM ST
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City | MONTPELIER
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State | VT
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Zip | 05602-2262
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Country | US
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Telephone | 510-846-8806
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Fax |
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Provider Business Mailing Address
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Address Line | 157 TOWNE AVE
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City | PLAINFIELD
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State | VT
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Zip | 05667-9425
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Country | US
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Telephone | 510-846-8806
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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 | 089.0092266
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License Number State | VT
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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 | 12992
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License Number State | CA
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