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General NPI Number Information
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NPI Number | 1306089586
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Entity Type | Individual
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Provider Name | KARNILLA ANNE JOLLY LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/17/2009
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 3022 VANDERBILT PL
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City | NASHVILLE
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State | TN
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Zip | 37212-2500
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Country | US
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Telephone | 615-393-3792
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Fax |
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Provider Business Mailing Address
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Address Line | 184 WORTHEY LN
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City | WARD
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State | AR
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Zip | 72176-7772
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Country | US
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Telephone | 501-288-0820
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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 | 5555-C
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License Number State | AR
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