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General NPI Number Information
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NPI Number | 1144971649
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Entity Type | Individual
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Provider Name | SEAN JUSTIN TURNER LISW-CP
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Gender | Male
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Dates
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Enumeration Date | 01/16/2022
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 1986 JOPPA AVE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-8159
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Country | US
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Telephone | 843-495-5998
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Fax |
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Provider Business Mailing Address
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Address Line | 1923 QUITMAN ST
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-8009
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Country | US
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Telephone | 315-491-0674
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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 | 14721
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License Number State | SC
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