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General NPI Number Information
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NPI Number | 1245891381
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Entity Type | Individual
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Provider Name | JODI KEMPNER COLLINS LISW-S
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Gender | Female
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 3962 N HAMPTON DR
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City | POWELL
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State | OH
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Zip | 43065-8430
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Country | US
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Telephone | 614-633-7812
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Fax |
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Provider Business Mailing Address
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Address Line | 350 ASHWORTH CT
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City | DUBLIN
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State | OH
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Zip | 43017-1355
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Country | US
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Telephone | 614-633-7812
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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 | I1100002.SUPV
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License Number State | OH
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