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General NPI Number Information
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NPI Number | 1306920681
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Entity Type | Individual
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Provider Name | JANE MARIE FLETCHER L.I.S.W.-S
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Gender | Female
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 01/04/2017
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Provider Practice Location Address
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Address Line | 1100 E MAIN CROSS ST
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City | FINDLAY
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State | OH
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Zip | 45840-6381
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Country | US
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Telephone | 419-424-1471
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Fax | 419-424-1413
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Provider Business Mailing Address
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Address Line | 715 S TAFT AVE
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City | FREMONT
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State | OH
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Zip | 43420-3237
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Country | US
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Telephone | 419-334-6619
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Fax | 419-334-6663
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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 | I0005577
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License Number State | OH
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