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General NPI Number Information
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NPI Number | 1235151580
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Entity Type | Individual
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Provider Name | JENNETTE FISHER LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 11/10/2024
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Provider Practice Location Address
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Address Line | 48 STILLWATER CIR
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City | SOMERSWORTH
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State | NH
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Zip | 03878-1747
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Country | US
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Telephone | 505-301-3301
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Fax |
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Provider Business Mailing Address
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Address Line | 48 STILLWATER CIR
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City | SOMERSWORTH
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State | NH
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Zip | 03878-1747
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Country | US
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Telephone | 505-301-3301
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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 | 5042
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | CSW.09925161
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | C.06535
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License Number State | NM
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