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General NPI Number Information
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NPI Number | 1306592670
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Entity Type | Organization
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Legal Business Name | JESSICA PERKISS, LCSW, PLLC
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 226 W 26TH ST FLOOR 8, SUITE 2
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City | NEW YORK
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State | NY
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Zip | 10001
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Country | US
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Telephone | 215-570-6997
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E 66TH ST APT 18EF
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City | NEW YORK
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State | NY
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Zip | 10065-6451
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Country | US
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Telephone | 215-570-6997
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JESSICA PERKISS
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Credential |
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Telephone | 215-570-6997
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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 |
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License Number State |
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