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General NPI Number Information
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NPI Number | 1306090576
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Entity Type | Organization
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Legal Business Name | E. JEANNE SALEMI LCSW
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 641 LYNNHAVEN PKWY SUITE 204
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7307
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Country | US
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Telephone | 757-306-4232
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Fax | 757-306-4235
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Provider Business Mailing Address
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Address Line | 641 LYNNHAVEN PKWY SUITE 204
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7307
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Country | US
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Telephone | 757-306-4232
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Fax | 757-306-4235
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Authorized Official
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Title or Position | OWNER
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Name | E. JEANNE SALEMI
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Credential | LCSW
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Telephone | 757-306-4232
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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 | 0904001284
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License Number State | VA
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