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General NPI Number Information
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NPI Number | 1134906928
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Entity Type | Individual
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Provider Name | JENNIFER MARIE ROSSIGNOL LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 336 CENTRAL ST
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City | LOWELL
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State | MA
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Zip | 01852-2609
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Country | US
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Telephone | 978-674-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 9 PINECREST RD
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City | LITCHFIELD
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State | NH
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Zip | 03052-2317
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Country | US
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Telephone | 603-421-4544
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 227558
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License Number State | MA
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