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General NPI Number Information
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NPI Number | 1205750916
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Entity Type | Individual
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Provider Name | JENNYSHA KIARA RAINEY RCSWI
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Gender | Female
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 13009 SPRING HILL DR
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City | SPRING HILL
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State | FL
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Zip | 34609-5048
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Country | US
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Telephone | 727-379-4324
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Fax |
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Provider Business Mailing Address
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Address Line | 4032 PORTILLO RD
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City | SPRING HILL
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State | FL
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Zip | 34608-7209
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Country | US
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Telephone | 727-505-6367
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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 | ISW23461
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License Number State | FL
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