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General NPI Number Information
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NPI Number | 1225215973
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Entity Type | Individual
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Provider Name | JENNIFER T ALLEN MSW, LISW-CP-S
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Gender | Female
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 01/24/2008
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Provider Practice Location Address
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Address Line | 1401 1/2 CALHOUN ST
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City | COLUMBIA
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State | SC
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Zip | 29201-2509
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Country | US
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Telephone | 803-727-4224
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Fax |
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Provider Business Mailing Address
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Address Line | 3 W ASHFORD CT
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City | IRMO
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State | SC
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Zip | 29063-8328
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Country | US
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Telephone | 803-727-4224
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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 | 1640
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License Number State | SC
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