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General NPI Number Information
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NPI Number | 1174161665
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Entity Type | Individual
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Provider Name | JENNIFER LYNN NOEL LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/15/2019
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 3100 NE 83RD ST STE 1001
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City | KANSAS CITY
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State | MO
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Zip | 64119-4460
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Country | US
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Telephone | 816-468-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 1104 SARAH LN
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City | KEARNEY
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State | MO
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Zip | 64060-7618
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Country | US
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Telephone | 816-876-6335
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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 | 2018029445
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License Number State | MO
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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 | 2022016231
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License Number State | MO
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