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General NPI Number Information
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NPI Number | 1134451115
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Entity Type | Individual
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Provider Name | JANEAN MICHAEL FRANCIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 1877 WINCHESTER AVE STE 132
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City | REEDSPORT
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State | OR
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Zip | 97467-1148
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Country | US
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Telephone | 406-407-8032
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Fax | 214-602-5295
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Provider Business Mailing Address
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Address Line | PO BOX 132
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City | REEDSPORT
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State | OR
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Zip | 97467-0132
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Country | US
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Telephone | 406-407-8032
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Fax | 214-602-5295
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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 | 8164
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License Number State | MT
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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 | L12153
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 5429-S
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License Number State | NV
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