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General NPI Number Information
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NPI Number | 1215576343
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Entity Type | Individual
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Provider Name | INNOCENT TURNER
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Gender | Female
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Dates
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Enumeration Date | 01/07/2020
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Last Update Date | 01/10/2020
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Provider Practice Location Address
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Address Line | 1500 SHALLCROSS AVE STE 2
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City | WILMINGTON
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State | DE
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Zip | 19806-3037
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Country | US
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Telephone | 267-230-7689
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Fax |
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Provider Business Mailing Address
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Address Line | 2514 JACQUELINE DR APT C22
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City | WILMINGTON
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State | DE
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Zip | 19810-2014
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Country | US
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Telephone | 267-230-7689
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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 | Q1-0001704
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License Number State | DE
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